Heritage Pediatrics LLC
Pediatrics in Alexander City, AL. Organization (NPI-2).
NPI number1982240941
StatusActive
Last updated in NPPESNov 25, 2019
Details
- NPI
- 1982240941
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2019
- Last updated
- Nov 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
3358 Highway 280Suite 108
Alexander City, AL 35010
Phone 256-794-8007
Mailing address
Po Box 2040Alexander City, AL 35011-2040
Authorized official
Chante Ruffin
Physician Owner
2567948007
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