Kindercare Pediatrics of Georgia
Organization Active NPI Pediatrics Physician · Guyton, GA
NPI 1467063248 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1467063248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- KINDERCARE PEDIATRICS OF GEORGIA
- Practice address
- 174 Royal Oak Dr
Guyton, GA 31312-5624 - Phone
- (912) 677-3765
- NPI assigned
- Aug 13, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Eric Stout, MD
- Title
- Physician/Owner
- Phone
- (912) 242-3791
Practitioners 2
-
Eric Cameron Stout, M.D.
National Provider Directory
Locations
122 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 259-9991
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
174 Royal Oak Dr
Guyton, GA 31312-5624
Mailing address
174 Royal Oak Dr
Guyton, GA 31312-5624
Phone (912) 242-3791
Other providers in Guyton, GA
- Roland Robert Jackson Jr.
- Amanda Johnson-Kennehan
- Dan Bernard Johnson Jr.
- Shannon Bragg Jones
- Key 4 Changes LLC
- Krystal L Kirkland- Artis
- Melinda J Kovich
- Arthur Lee
- Samantha Leininger
- Soneisha Monay Ling
All providers in Guyton, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.