Search › Georgia › 207RE0101X
Jennifer Pedersen, DO
NPI 1073606661 · on the registry since 2006
Practice
- Address
- 4321 University Pkwy Ste 101
Evans, GA 30809 - Phone
- (706) 774-5995
- Fax
- (706) 774-5996
- Organisation at this address
- The Pediatric Office, Llc
Neighborhood Improvement Project Inc
Neighborhood Improvement Project IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 1303 Dantignac St, Augusta, GA
- 820 Saint Sebastian Way Ste 4a, Augusta, GA
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia