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PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC NPI 1144284084


NPI Information

NPI: 1144284084
Provider Name: PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1962 CHEROKEE RD
ALEXANDER CITY, AL
ZIP 35010
Phone: (256) 234-5021
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PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC is a pediatrics in Alexander City, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC NPI is 1144284084. The provider is registered as an organization entity type.

The provider's business location address is:

1962 CHEROKEE RD
ALEXANDER CITY, AL
ZIP 35010-437
Phone: (256) 234-5021
Fax: (256) 234-5640

The provider's authorized official is Eric Owen Tyler .
The authorized official title is President/ceo and has the following contact phone number (256) 234-5021.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 9/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1528501050MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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