Carenation Pediatrics

Organization Active NPI Pediatrics Physician · Donalsonville, GA

NPI 1154915296 · NPPES record last updated Jun 30, 2022

Key facts

NPI
1154915296
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
CARENATION PEDIATRICS
Practice address
205 Bresee St
Donalsonville, GA 39845-1134
Phone
(615) 216-4876
Fax
(931) 299-2952
NPI assigned
Mar 1, 2021
Organization subpart
No

Authorized official

Name
Mr. Michael Gaw
Title
Chairman
Phone
(615) 739-3371

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

205 Bresee St
Donalsonville, GA 39845-1134

Mailing address

6106 Wendover GLN
Brentwood, TN 37027-5740
Phone (615) 216-4876

Electronic endpoints

TypeEndpointUseAffiliation
Other URL www.practicesuites.com Direct

Other providers in Donalsonville, GA

All providers in Donalsonville, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.