Professional Pediatrics Pa in Montgomery - Pediatrics
Professional Pediatrics Pa - NPI 1003904327
Professional Pediatrics Pa is a Pediatrics in Montgomery, Alabama. Professional Pediatrics Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Professional Pediatrics Pa is 1003904327. The last update date is 2020-08-22.
Professional Pediatrics Pa's current location address is 4154 Carmicheal Road, Montgomery, Alabama. You can contact this provider via phone number 3342715959 and fax number 3342728775. The mailing address for Professional Pediatrics Pa is 4154 Carmicheal Road, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Pediatrics Pa |
|---|---|
| Address | 4154 Carmicheal Road, Montgomery, Alabama |
| Phone Number | 3342715959 |
| Fax Number | 3342728775 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | White Allen Charles |
| Credentials | MD |
| Telephone Number | 3342715959 |
NPI Number Detail
| NPI Number | 1003904327 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4154 Carmicheal Road |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 36106 |
| Phone Number | 3342715959 |
| Fax Number | 3342728775 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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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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What is the unique 10-digit identification code assigned to Professional Pediatrics Pa by the Centers for Medicare & Medicaid Services?
The Professional Pediatrics Pa has been issued the NPI (National Provider Identifier) 1003904327, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Professional Pediatrics Pa?
The Professional Pediatrics Pa is situated at 4154 Carmicheal Road, in the city of Montgomery, state of AL, with the zip code 36106.
What is Professional Pediatrics Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Professional Pediatrics Pa's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003904327 to Professional Pediatrics Pa?
The Centers for Medicare & Medicaid Services assigned the 1003904327 to Professional Pediatrics Pa on 2006-10-11.
As of what date were the details pertaining to Professional Pediatrics Pa last refreshed?
The information related to the Professional Pediatrics Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.