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

Woodstock Pediatrics PC

Organization Pediatrics Physician · NPI 1104159086

Woodstock Pediatrics PC is a Pediatrics Physician in Blue Ridge, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

460 W Main St Ste 100
Blue Ridge, GA 30513-7127
Phone: (706) 632-0330
Fax: (706) 632-9004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 032063 (GA)

Record details

NPI number1104159086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Williams — M.D. · (706) 632-0330
Other names Main Street Pediatrics
NPI enumeratedSeptember 10, 2009
Last updated in NPPESJanuary 31, 2011
Mailing address460 W Main St, Suite 100, Blue Ridge, GA 30513-7127

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