| Careconnect Pediatrics | |
|
506-c Spaulding Road Suite B Montezuma GA 31063 | |
| (478) 458-9992 | |
| (478) 458-9996 |
| Full Name | Careconnect Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 506-c Spaulding Road, Montezuma, Georgia |
| Authorized Official Name and Position | Linda Young (SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Pediatrics 506-c Spaulding Road Suite B Montezuma GA 31063 Ph: (478) 458-9992 | Careconnect Pediatrics 506-c Spaulding Road Suite B Montezuma GA 31063 Ph: (478) 458-9992 |
| NPI Number | 1407252638 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20150227002028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407252638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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