01D0306147 CLIA NUMBER - Pediatric Adolescent Medicine Inc

Laboratory Demographics

CLIA Number: 01D0306147

Facility Name: Pediatric Adolescent Medicine Inc

Facility Address:
618 Medical Center Pkwy Suite
Selma, AL
ZIP 36701
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Facility Phone Number: (334) 874-4843

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1902975899

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name Field Value
CLIA Number 01D0306147
LAB Type PHYSICIAN OFFICE
Facility Name Pediatric Adolescent Medicine Inc
Street 618 Medical Center Pkwy Suite
City Selma
State AL
ZIP 36701
Phone (334) 874-4843

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This page was last updated on: 4/7/2021