Montgomery Pediatric Assoc, P.A. in Montgomery - Adolescent Medicine
Montgomery Pediatric Assoc, P.A. - NPI 1770532681
Montgomery Pediatric Assoc, P.A. is a Adolescent Medicine in Montgomery, Alabama. Montgomery Pediatric Assoc, P.A. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Montgomery Pediatric Assoc, P.A. is 1770532681. The last update date is 2011-04-15.
Montgomery Pediatric Assoc, P.A.'s current location address is 420 Cotton Gin Rd, Montgomery, Alabama. You can contact this provider via phone number 3342609129 and fax number 3342609665. The mailing address for Montgomery Pediatric Assoc, P.A. is 420 Cotton Gin Rd, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Montgomery Pediatric Assoc, P.A. |
|---|---|
| Address | 420 Cotton Gin Rd, Montgomery, Alabama |
| Phone Number | 3342609129 |
| Fax Number | 3342609665 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Berry Vikki |
| Credentials | OFFICE MAN |
| Telephone Number | 3342609129 |
NPI Number Detail
| NPI Number | 1770532681 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2011-04-15 |
Provider Mailing Address Detail
| Address | 420 Cotton Gin Rd |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361173557 |
| Phone Number | 3342609129 |
| Fax Number | 3342609665 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 6213 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528301770 | AL | -- |
Post Comment/ Review Below
What is the Montgomery Pediatric Assoc, P.A.'s 1770532681?
The Montgomery Pediatric Assoc, P.A.'s NPI (National Provider Identifier) Number is 1770532681. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Montgomery Pediatric Assoc, P.A.'s facilities are geographically located?
The facilities of Montgomery Pediatric Assoc, P.A. are physically situated at the following location: 420 Cotton Gin Rd, Montgomery, AL, 361173557.
What is Montgomery Pediatric Assoc, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Montgomery Pediatric Assoc, P.A. is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Montgomery Pediatric Assoc, P.A. receive the assignment of its 1770532681 from the Centers for Medicare & Medicaid Services?
The Montgomery Pediatric Assoc, P.A. was issued its 1770532681 by the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the information regarding Montgomery Pediatric Assoc, P.A. most recently updated?
The details pertaining to the Montgomery Pediatric Assoc, P.A., including its address, specialty, and other relevant information, were last refreshed on 2011-04-15.