Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Pediatric Clinic, LLC

Organization Pediatrics Physician · NPI 1982858767

Southern Pediatric Clinic, LLC is a Pediatrics Physician in Valdosta, Georgia. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

406 M Northside Dr
Valdosta, GA 31602
Phone: (229) 241-0059
Fax: (229) 241-0059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1982858767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlene Blache — Owner/Physician · (229) 241-0059
NPI enumeratedNovember 6, 2008
Last updated in NPPESFebruary 3, 2017
Mailing address406 M Northside Drive, Valdosta, GA 31602

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