Middle Georgia Pediatrics
Pediatric Adolescent Medicine
Middle Georgia Pediatrics is a Macon, Georgia based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1508 Hardeman Ave Ste B, Macon, Georgia - 31201-1471. They can be contacted on phone at
478-741-7371 and fax number 478-741-7372.
NPI number (Unique professional ID) for Middle Georgia Pediatrics is
1073885828 which was assigned by NPPES on 08 Feb, 2012 and it was last updated on 08 Feb, 2012.
Middle Georgia Pediatrics license number is
048846 for Pediatrics Adolescent Medicine (2080A0000X) in Georgia.
Middle Georgia Pediatrics specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Middle Georgia Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Middle Georgia Pediatrics |
|---|
Business Address:
Middle Georgia Pediatrics 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 : | 1508 Hardeman Ave Ste B
Macon, GA, 31201-1471
United States |
|---|
| Phone Number : | 478-741-7371 |
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| Fax Number : | 478-741-7372 |
|---|
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 : | 1073885828 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 08 Feb, 2012 |
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| Last Updated On : | 08 Feb, 2012 |
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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 : | Stanleyseth Bush |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PROPRIETOR |
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| Phone Number : | 478-741-7371 |
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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 Middle Georgia Pediatrics are as mentioned. Primary taxonomy code for Middle Georgia Pediatrics is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 048846 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Middle Georgia Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000872737B | 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 : | 1508 Hardeman Ave Ste B
Macon, GA, 31201-1471
United States |
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| Phone Number : | 478-741-7371 |
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| Fax Number : | 478-741-7372 |
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Business Location:
Patients can refer following map for directions to
Middle Georgia Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.