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PARTNERS IN PEDIATRICS LLC NPI 1063679496


NPI Information

NPI: 1063679496
Provider Name: PARTNERS IN PEDIATRICS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2136108

Address:
136 E MAIN ST
PRATTVILLE, AL
ZIP 36067
Phone: (334) 272-1799
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PARTNERS IN PEDIATRICS LLC is a primary care clinic center in Prattville, AL. PARTNERS IN PEDIATRICS LLC NPI is 1063679496. The provider is registered as an organization entity type.

The provider's business location address is:

136 E MAIN ST
PRATTVILLE, AL
ZIP 36067-114
Phone: (334) 272-1799
Fax: (334) 272-4876

The provider's authorized official is Lamenda Noel Blakeney .
The authorized official title is Md/acting Office Manager and has the following contact phone number (334) 272-1799.

The CLIA number assigned to this NPI record is 01D2136108 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 5/22/2008.


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
1261QP2300XClinic/CenterPrimary Care22059ALABAMAYes

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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