Youthcare Pediatrics Of Central Georgia, Pc

LBN: Youthcare Pediatrics Of Central Georgia, Pc
Youthcare Pediatrics Of Central Georgia, Pc is an health care organization with primary practice located at 233 N Houston Rd Suite 140-H, Warner Robins GA 31093-3074. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Youthcare Pediatrics Of Central Georgia, Pc can be contacted via phone (478) 923-3360, or through Wade, Robert Stephen via phone (478) 923-3360.

Contact Information

Primary practice address
233 N Houston Rd Suite 140-H Warner Robins GA 31093-3074
Fax: (478) 923-9977
Website:
Authorized official contact:
Name: Wade, Robert Stephen Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1922276252
LBN Legal business name Youthcare Pediatrics Of Central Georgia, Pc
DBA Doing business as
Authorized official Wade, Robert Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2008
Last updated Apr 13th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922276252 NPPES
Georgia MEDICAID 000377836D

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