Professional Pediatrics Pa

NPI 1003904327 - Pediatrics - 208000000X

NPI Details
NPI 1003904327
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES ALLEN CHARLES
Position PRESIDENT
Phone (334) 271-5959
Fax (334) 272-8775
Practice Location
4154 CARMICHEAL ROAD
MONTGOMERY AL, 36106, US
Phone (334) 271-5959
Fax (334) 272-8775
Business Location
4154 CARMICHEAL ROAD
MONTGOMERY AL, 36106, US
Phone (334) 271-5959
Fax (334) 272-8775
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Professional Pediatrics Pa NPI is 1003904327, taxonomy code is 208000000X Professional Pediatrics Pa physically located at 4154 Carmicheal Road, Montgomery AL, 36106. NPI Number 1033115704 has the healthcare provider type.

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1003904327 NPI number is provided on an as is basis without warranty of any kind. 1003904327 is maintained by the National Plan & Provider Enumeration System. The contents of Professional Pediatrics Pa are for informational purposes only.