| NPI | 1720339336 |
|---|---|
| Doing Business As | MIDDLE GA PEDIATRICS AT HAWKINSVILLE |
| Entity Type | Organization |
| Authorized Contact | NIKKI PAULK COO 478-783-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2022-04-01 |