| August Pediatrics Teens N Tots Pediatrics | |
|
123 N 19th St Ste 302 Middlesboro KY 40965-2865 | |
| (606) 302-7036 | |
| Not Available |
| Full Name | August Pediatrics Teens N Tots Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 123 N 19th St Ste 302, Middlesboro, Kentucky |
| Authorized Official Name and Position | Robin Cline (OFFICE MANAGER) |
| Authorized Official Contact | 0000000002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| August Pediatrics Teens N Tots Pediatrics 123 N 19th St Ste 302 Middlesboro KY 40965-2865 Ph: () - | August Pediatrics Teens N Tots Pediatrics 123 N 19th St Ste 302 Middlesboro KY 40965-2865 Ph: (606) 302-7036 |
| NPI Number | 1780142968 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 03/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780142968 | NPI | - | NPPES |
| 3012178 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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