Child And Adolescent Medical Providers, P.c.
Pediatrics
Child And Adolescent Medical Providers, P.c. is a Lavonia, Georgia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
13375 Jones St Ste C, Lavonia, Georgia - 30553-1147. They can be contacted on phone at
706-356-5439 and fax number 706-356-5897.
NPI number (Unique professional ID) for Child And Adolescent Medical Providers, P.c. is
1215093430 which was assigned by NPPES on 29 Dec, 2006 and it was last updated on 22 Aug, 2020.
Child And Adolescent Medical Providers, P.c. license number is
047486 for Pediatrics (208000000X) in Georgia.
Child And Adolescent Medical Providers, P.c. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Child And Adolescent Medical Providers, P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Child And Adolescent Medical Providers, P.c. |
|---|
Business Address:
Child And Adolescent Medical Providers, P.c. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 13375 Jones St Ste C
Lavonia, GA, 30553-1147
United States |
|---|
| Phone Number : | 706-356-5439 |
|---|
| Fax Number : | 706-356-5897 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215093430 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Dec, 2006 |
|---|
| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Davidc Martin |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CEO |
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| Phone Number : | 706-356-5439 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Child And Adolescent Medical Providers, P.c. are as mentioned. Primary taxonomy code for Child And Adolescent Medical Providers, P.c. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 047486 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Child And Adolescent Medical Providers, P.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00860219C | MEDICAID | GA | |
| 10056443 | MEDICAID | GA | |
| 85002622G | MEDICAID | GA | |
| 52768660 | Other | GA | BCBS PIN# |
| 309143 | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 13375 Jones St Ste C
Lavonia, GA, 30553-1147
United States |
|---|
| Phone Number : | 706-356-5439 |
|---|
| Fax Number : | 706-356-5897 |
|---|
Business Location:
Patients can refer following map for directions to
Child And Adolescent Medical Providers, P.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.