Decatur General Hospital
Pediatrics in Decatur, AL. Organization (NPI-2).
NPI number1780940494
StatusActive
Last updated in NPPESApr 6, 2012
Details
- NPI
- 1780940494
- Entity type
- Organization (NPI-2)
- Legal business name
- Decatur General Hospital
- Organization subpart
- No
- Enumeration date
- Apr 6, 2012
- Last updated
- Apr 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | md29393 | AL | Yes |
Other names
- Tanya D Delavergne, MD (Doing Business As)
Practice location
1215 7th St SeSuite 230
Decatur, AL 35601-3337
Phone 256-350-4855 · Fax 256-350-4866
Mailing address
Po Box 2239Decatur, AL 35609-2239
Phone 256-350-4855 · Fax 256-350-4866
Authorized official
Dean Griffin
Ceo
2563412000
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All 29 Pediatrics Physician providers in Decatur · All 1,747 providers in Decatur
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