SOUTHERN PEDIATRIC CLINIC, LLC – NPI #1982858767
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

SOUTHERN PEDIATRIC CLINIC, LLC is a provider located in VALDOSTA, GA. NPPES has assigned the NPI number 1982858767 to SOUTHERN PEDIATRIC CLINIC, LLC on November 06, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 9 years ago on Feb 03, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN PEDIATRIC CLINIC, LLC below.

NPI Profile for
SOUTHERN PEDIATRIC CLINIC, LLC

NPI Number
1982858767
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN PEDIATRIC CLINIC, LLC
Primary location
406 M NORTHSIDE DRIVE
VALDOSTA, GA 31602
Phone: (229) 241-0059 Fax: (229) 241-0059
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLENE BLACHE
OWNER/PHYSICIAN
Phone: (229) 241-0059
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.