JEFFERSON PEDIATRICS, INC.
Ambulatory Health at Highway 129, Jefferson, GA

License number
Georgia 038372
Category
Ambulatory Health
Type
Primary Care
Owner
Name: TAMMY GAIL SMITH M.D.
Title: OFFICER
Phone: (706) 367-1010
Address
Address
2610 Highway 129 N, Jefferson, GA 30549
National Provider ID: 1336411347
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFFERSON PEDIATRICS, INC

2610 Hwy 129 N, Jefferson, GA 30549

Registration:
Feb 15, 2002
State ID:
0209300
Business type:
Domestic Profit Corporation
Secretarys:
G Tammy Smith (CEO), 2610 Hwy 129 N, Jefferson, GA 30549 (Physical),S Tammy Baker (Secretary), 2610 Hwy 129 N, Jefferson, GA 30549 (Physical)
Agent:
Tammy G. Smith,2610 Us Hwy 129 N, Jefferson, GA (Physical)

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