Marshall County Pediatrics, Pc in Guntersville - Specialist
Marshall County Pediatrics, Pc - NPI 1043242514
Marshall County Pediatrics, Pc is a Specialist in Guntersville, Alabama. Marshall County Pediatrics, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marshall County Pediatrics, Pc is 1043242514. The last update date is 2020-08-22.
Marshall County Pediatrics, Pc's current location address is 45 Medical Park Dr Ste B, Guntersville, Alabama. You can contact this provider via phone number 2565718969 and fax number 2565718980. The mailing address for Marshall County Pediatrics, Pc is 45 Medical Park Dr Ste B, Guntersville, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Marshall County Pediatrics, Pc |
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Address | 45 Medical Park Dr Ste B, Guntersville, Alabama |
Phone Number | 2565718969 |
Fax Number | 2565718980 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Packard Mallory John |
Credentials | MD |
Telephone Number | 2565718969 |
NPI Number Detail
NPI Number | 1043242514 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 45 Medical Park Dr Ste B |
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City | Guntersville |
State | Alabama (AL) |
Post Code | 359766999 |
Phone Number | 2565718969 |
Fax Number | 2565718980 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 6719 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Marshall County Pediatrics, Pc by the Centers for Medicare & Medicaid Services?
The Marshall County Pediatrics, Pc has been issued the NPI (National Provider Identifier) 1043242514. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Marshall County Pediatrics, Pc is located?
The Marshall County Pediatrics, Pc is situated at the following address: 45 Medical Park Dr Ste B, Guntersville, AL, 359766999.
What is Marshall County Pediatrics, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marshall County Pediatrics, Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Marshall County Pediatrics, Pc receive its 1043242514 assignment from the Centers for Medicare & Medicaid Services?
The Marshall County Pediatrics, Pc was assigned its 1043242514 by the Centers for Medicare & Medicaid Services on 2006-07-07.
When was the information related to Marshall County Pediatrics, Pc most recently updated or refreshed?
The details pertaining to the Marshall County Pediatrics, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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