| NPI | 1528556990 |
|---|---|
| Doing Business As | PEDIATRIC CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | LINDA YOUNG Executive Secretary 229-273-8881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2020-01-06 |