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LIBERTY MOUNTAIN PEDIATRICS P.C. NPI 1487133898


NPI Information

NPI: 1487133898
Provider Name: LIBERTY MOUNTAIN PEDIATRICS, P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 01D2154250

Address:
4600 HIGHWAY 280
BIRMINGHAM, AL
ZIP 35242
Phone: (205) 790-1650
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LIBERTY MOUNTAIN PEDIATRICS, P.C. is a pediatrics in Birmingham, 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. LIBERTY MOUNTAIN PEDIATRICS, P.C. NPI is 1487133898. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4600 HIGHWAY 280
BIRMINGHAM, AL
ZIP 35242-028
Phone: (205) 790-1650

The provider's authorized official is Gregg William Thomas .
The authorized official title is Administrator and has the following contact phone number (205) 709-1650.

The CLIA number assigned to this NPI record is 01D2154250 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/8/2018 and was last updated on 8/8/2018.


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
1208000000XPediatricsYes

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: 4/28/2024

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