Woodstock Pediatrics Pc
Pediatrics
Woodstock Pediatrics Pc is a Blue Ridge, Georgia based Pediatric center with medical specialization in
General Pediatrics. Woodstock Pediatrics Pc is doing business as
Main Street Pediatrics.
It is located at
460 W Main St, Suite 100, Blue Ridge, Georgia - 30513-7127. They can be contacted on phone at
706-632-0330 and fax number 706-632-9004.
NPI number (Unique professional ID) for Woodstock Pediatrics Pc is
1104159086 which was assigned by NPPES on 10 Sep, 2009 and it was last updated on 31 Jan, 2011.
Woodstock Pediatrics Pc license number is
032063 for Pediatrics (208000000X) in Georgia.
Woodstock Pediatrics Pc 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:
Woodstock Pediatrics Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Woodstock Pediatrics Pc |
|---|
| Other Name : | Main Street Pediatrics |
|---|
Business Address:
Woodstock Pediatrics Pc 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 : | 460 W Main St, Suite 100
Blue Ridge, GA, 30513-7127
United States |
|---|
| Phone Number : | 706-632-0330 |
|---|
| Fax Number : | 706-632-9004 |
|---|
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 : | 1104159086 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 Sep, 2009 |
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| Last Updated On : | 31 Jan, 2011 |
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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 : | Kimberlyt Williams |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | M.D. |
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| Phone Number : | 706-632-0330 |
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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 Woodstock Pediatrics Pc are as mentioned. Primary taxonomy code for Woodstock Pediatrics Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 032063 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Woodstock Pediatrics Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000448269F | 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 : | 460 W Main St, Suite 100
Blue Ridge, GA, 30513-7127
United States |
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| Phone Number : | 706-632-0330 |
|---|
| Fax Number : | 706-632-9004 |
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Business Location:
Patients can refer following map for directions to
Woodstock Pediatrics Pc 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.