Healthcare Provider Details

I. General information

NPI: 1669543799
Provider Name (Legal Business Name): KIDS COME FIRST PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 PALMYRA RD
ALBANY GA
31701-1574
US

IV. Provider business mailing address

PO BOX 72103
ALBANY GA
31708-2103
US

V. Phone/Fax

Practice location:
  • Phone: 229-435-2502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSY GEHLOT
Title or Position: PRESIDENT
Credential: MD
Phone: 229-435-2502