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1225111594
PEDIATRIC & ADOLESCENT CLINIC, LLC
VALDOSTA, GA
NPI
1225111594
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Entity Type
Organization
Authorized Contact
KIMBERLY MEGOW
President
229-259-4905
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-10-23
Last Update Date
2022-07-21
Business Address
PEDIATRIC & ADOLESCENT CLINIC, LLC
2501 N PATTERSON ST
VALDOSTA, GA 31602-1735
Phone number: 229-259-4905
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Mailing Address
PEDIATRIC & ADOLESCENT CLINIC, LLC
PO BOX 1666
VALDOSTA, GA 31603-1666
Phone number: 229-259-4905
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