Southeast Pediatrics in Tuskegee - Pediatrics
Southeast Pediatrics - NPI 1790844819
Southeast Pediatrics is a Pediatrics in Tuskegee, Alabama. Southeast Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Southeast Pediatrics is 1790844819. The last update date is 2020-08-22.
Southeast Pediatrics's current location address is 804 Crawford St, Tuskegee, Alabama. You can contact this provider via phone number 3347240350. The mailing address for Southeast Pediatrics is 804 Crawford St, Tuskegee, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Pediatrics |
|---|---|
| Address | 804 Crawford St, Tuskegee, Alabama |
| Phone Number | 3347240350 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFIICER |
|---|---|
| Authorized Official Name | Walker Ann Mollie |
| Credentials | M.D. |
| Telephone Number | 3347240550 |
NPI Number Detail
| NPI Number | 1790844819 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 804 Crawford St |
|---|---|
| City | Tuskegee |
| State | Alabama (AL) |
| Post Code | 360837262 |
| Phone Number | 3347240350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 11822 |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11822 | AL | LICENSE NUMBER | |
| 5L502423 | AL | BLUECROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Southeast Pediatrics by the Centers for Medicare & Medicaid Services?
The Southeast Pediatrics has been issued the NPI (National Provider Identifier) 1790844819 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Southeast Pediatrics is geographically located?
The Southeast Pediatrics is physically situated at the following location: 804 Crawford St, Tuskegee, AL, 360837262.
What is the Southeast Pediatrics's area of specialization and corresponding taxonomy classification?
The Southeast Pediatrics's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1790844819 assigned to Southeast Pediatrics?
The Southeast Pediatrics was issued its 1790844819 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Southeast Pediatrics's details last updated?
The information pertaining to the Southeast Pediatrics, including its address, specialty, and other details, was most recently updated on 2020-08-22.