Marshall County Pediatrics, PC
Specialist in Guntersville, AL. Organization (NPI-2).
NPI number1043242514
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043242514
- Entity type
- Organization (NPI-2)
- Legal business name
- Marshall County Pediatrics, PC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 6719 | AL | Yes |
Practice location
45 Medical Park Dr Ste BGuntersville, AL 35976-6999
Phone 256-571-8969 · Fax 256-571-8980
Mailing address
45 Medical Park Dr Ste BGuntersville, AL 35976-6999
Phone 256-571-8969 · Fax 256-571-8980
Authorized official
John Mallory Packard
President
2565718969
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