Pediatric Care After Hours

Organization Active NPI Pediatrics Physician · Warner Robins, GA

NPI 1619155751 · NPPES record last updated Apr 13, 2009

Key facts

NPI
1619155751
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
032131 (GA)
Legal business name
PEDIATRIC CARE AFTER HOURS
Practice address
116 S Houston Rd
Warner Robins, GA 31088-3904
Phone
(478) 923-0131
Fax
(478) 922-6530
NPI assigned
Jan 31, 2008
Organization subpart
No

Authorized official

Name
Kimberly T. Blevens, MD
Title
Physician
Phone
(478) 923-0131

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

116 S Houston Rd
Warner Robins, GA 31088
Phone (478) 751-2580

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X 032131 GA Yes

Addresses

Primary practice location

116 S Houston Rd
Warner Robins, GA 31088-3904

Mailing address

116 S Houston Rd
Warner Robins, GA 31088-3904
Phone (478) 923-0131

Other identifiers

IdentifierTypeStateIssuer
000400419BMedicaidGA

Other providers in Warner Robins, GA

All providers in Warner Robins, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.