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Tuscaloosa Pediatrics

Pediatrics in Tuscaloosa, AL. Organization (NPI-2).

NPI number1710072798
StatusActive
Last updated in NPPESJul 10, 2020

Details

NPI
1710072798
Entity type
Organization (NPI-2)
Legal business name
Tuscaloosa Pediatrics
Organization subpart
No
Enumeration date
Oct 4, 2006
Certification date
Jul 10, 2020
Last updated
Jul 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

4880 Harkey Ln
Tuscaloosa, AL 35406-2863

Phone 205-333-8222 · Fax 205-333-8233

Mailing address

4880 Harkey Ln
Tuscaloosa, AL 35406-2863

Phone 205-333-8222 · Fax 205-333-8233

Authorized official

Denise Brown
Physician
2053338222

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