Southeast Georgia Pediatrics
Southeast Georgia Pediatrics is a Primary Care Clinic/Center in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1701 Boulevard Sq Ste DWaycross, GA 31501-8022
Phone: (912) 387-0445
Fax: (912) 226-3513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 018950 (GA) |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X · Licence 041044 (GA) |
Record details
| NPI number | 1457613192 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugene Kallay — Owner · (478) 737-7653 |
| NPI enumerated | June 8, 2012 |
| Last updated in NPPES | June 15, 2020 |
| Certification date | June 15, 2020 |
| Mailing address | 1701 Boulevard Sq Ste D, Waycross, GA 31501-8022 |
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