Santo Nino Pediatric Clinic, Pc in Augusta - Pediatrics

Santo Nino Pediatric Clinic, Pc - NPI 1760431605

Santo Nino Pediatric Clinic, Pc is a Pediatrics in Augusta, Georgia. Santo Nino Pediatric Clinic, Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Santo Nino Pediatric Clinic, Pc is 1760431605. The last update date is 2018-08-17.

Santo Nino Pediatric Clinic, Pc's current location address is 1722 Central Ave, Augusta, Georgia. You can contact this provider via phone number 7068557414 and fax number 7063640554. The mailing address for Santo Nino Pediatric Clinic, Pc is 1722 Central Ave, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Santo Nino Pediatric Clinic, Pc
Address 1722 Central Ave, Augusta, Georgia
Phone Number 7068557414
Fax Number 7063640554
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Nafarrete Rico Alberto
Telephone Number 7068557414

NPI Number Detail

NPI Number 1760431605
Provider Enumeration Date 2006-05-08
Last Updated Date 2018-08-17

Provider Mailing Address Detail

Address 1722 Central Ave
City Augusta
State Georgia (GA)
Post Code 309045737
Phone Number 7068557414
Fax Number 7063640554

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5444457 GA CCN(NETWORK)
GPA837 SC --
10942549 GA CAROLINA CARE PLAN
003683189A GA --

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FAQs about Santo Nino Pediatric Clinic, Pc

What is the unique provider identifier assigned to Santo Nino Pediatric Clinic, Pc?

The Santo Nino Pediatric Clinic, Pc has been issued the NPI (National Provider Identifier) 1760431605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Santo Nino Pediatric Clinic, Pc is geographically located?

The Santo Nino Pediatric Clinic, Pc is physically situated at the following location: 1722 Central Ave, Augusta, GA, 309045737.

What is Santo Nino Pediatric Clinic, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Santo Nino Pediatric Clinic, Pc's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did the Santo Nino Pediatric Clinic, Pc receive its 1760431605 assignment from the Centers for Medicare & Medicaid Services?

The Santo Nino Pediatric Clinic, Pc was assigned its 1760431605 by the Centers for Medicare & Medicaid Services on 2006-05-08.

As of what date were the details pertaining to Santo Nino Pediatric Clinic, Pc last refreshed?

The information related to the Santo Nino Pediatric Clinic, Pc, including its address, specialty, and other relevant details, was last updated on 2018-08-17.

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