| NPI | 1760660203 |
|---|---|
| Former Legal Business Name | KIDS CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NANDLAL CHAINANI CEO 229-386-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 63840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 44893) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2023-08-30 |