Organization Name: | KIDS FIRST PEDIATRIC GROUP OF AUGUSTA ,P.C |
NPI Number: | 1487971230 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL DALE THOMPSON-ARMANT (CEO) |
Mailing Address: | 1215 George C.wilson Ct. Suite B1 Augusta |
State: | GA US |
Postal Code: | 309095704 |
Phone Number: | 7066500004 |
Fax Number: | 7066505889 |
NPI Enumeration Date: | 05/03/2010 |
NPI Last Update Date: | 05/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 056931 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |