Adult & Pediatric Medicine Pc in Montgomery - Adult Medicine
Adult & Pediatric Medicine Pc - NPI 1073548004
Adult & Pediatric Medicine Pc is a Adult Medicine in Montgomery, Alabama. Adult & Pediatric Medicine Pc practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Adult & Pediatric Medicine Pc is 1073548004. The last update date is 2011-07-01.
Adult & Pediatric Medicine Pc's current location address is 4825 Virginia Loop Rd, Montgomery, Alabama. You can contact this provider via phone number 3342869772 and fax number 3342849828. The mailing address for Adult & Pediatric Medicine Pc is 4825 Virginia Loop Rd, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Adult & Pediatric Medicine Pc |
|---|---|
| Address | 4825 Virginia Loop Rd, Montgomery, Alabama |
| Phone Number | 3342869772 |
| Fax Number | 3342849828 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Morgan Barber Leatha |
| Credentials | MD |
| Telephone Number | 3342849772 |
NPI Number Detail
| NPI Number | 1073548004 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2011-07-01 |
Provider Mailing Address Detail
| Address | 4825 Virginia Loop Rd |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 36116 |
| Phone Number | 3342869772 |
| Fax Number | 3342849828 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83670 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Adult & Pediatric Medicine Pc by the Centers for Medicare & Medicaid Services?
The Adult & Pediatric Medicine Pc has been assigned the NPI (National Provider Identifier) 1073548004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Adult & Pediatric Medicine Pc's physical address?
The Adult & Pediatric Medicine Pc is physically located at 4825 Virginia Loop Rd, in the city of Montgomery, AL, with the postal code 36116.
What is the Adult & Pediatric Medicine Pc's area of specialization and corresponding taxonomy classification?
The Adult & Pediatric Medicine Pc's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.
On what date did Adult & Pediatric Medicine Pc receive its 1073548004 assignment from the Centers for Medicare & Medicaid Services?
The Adult & Pediatric Medicine Pc was assigned its 1073548004 on 2006-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Adult & Pediatric Medicine Pc last refreshed?
The information related to the Adult & Pediatric Medicine Pc, including its address, specialty, and other relevant details, was last updated on 2011-07-01.