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NPI Code Detail

MEDICARE: ABLE PEDIATRICS HEALTH SERVICES LLC

MEDICARE: ABLE PEDIATRICS HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFT011580GA
2235Z00000XSpeech-Language Pathologist
3225XP0200XPediatric Occupational TherapistOT006115GA

General Provider Information

NPI Number : 1194235028
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABLE PEDIATRICS HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 3727 EXECUTIVE CENTER DR
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-2398
Country : US
Telephone Number : 706-842-5331
Fax Number : 706-842-5351
Provider Business Practice Location Address
First Line : 3727 EXECUTIVE CENTER DR
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-2398
Country : US
Telephone Number : 706-842-5331
Fax Number : 706-842-5351
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SHANNON N MYERS
Credential : MD
Telephone Number : 706-842-5331
Provider Enumeration Date : 10/05/2017
Last Update Date : 01/04/2018

Similar Medicare Providers

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Practice Location Address:
3727 EXECUTIVE CENTER DR
AUGUSTA, GA
30907-2398
Practice Phone: 706-842-5330
Practice Fax: 706-842-5340
1457215246 — SABRINA SWINDLER
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3727 EXECUTIVE CENTER DR
AUGUSTA, GA
30907-2398
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Practice Fax: 706-842-5340
1184945339 — DR. SHANNON NICOLE MYERS M.D.
Practice Location Address:
3727 EXECUTIVE CENTER DR
AUGUSTA, GA
30907-2398
Practice Phone: 706-842-5331
Practice Fax: 706-842-5351
1669913208 — ABLE PEDIATRICS LLC
Practice Location Address:
3727 EXECUTIVE CENTER DR
AUGUSTA, GA
30907-2398
Practice Phone: 706-842-5331
Practice Fax: 706-842-5351
1861967903 — KAITLYN ALLEN MS, OTR/L
Practice Location Address:
3727 EXECUTIVE CENTER DR
AUGUSTA, GA
30907-2398
Practice Phone: 706-842-5331
Practice Fax:
1083182430 — KELSEY MARIE WOODLEY
Practice Location Address:
3727 EXECUTIVE CENTER DR
AUGUSTA, GA
30907-2398
Practice Phone: 706-842-5330
Practice Fax: 706-842-5340

Directions to “ABLE PEDIATRICS HEALTH SERVICES LLC ” Practice Location

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