SCOTTSBORO PEDIATRICS PC NPI 1376966416

NPI Information

SCOTTSBORO PEDIATRICS PC is a primary care clinic center in Scottsboro, AL. SCOTTSBORO PEDIATRICS PC NPI is 1376966416. The provider is registered as an organization entity type.

The provider's business location address is:

1508 S BROAD ST
SUITE 300
SCOTTSBORO, AL
ZIP 35768-667
Phone: (256) 259-3600

The provider's authorized official is Muhammad Amjad .
The authorized official title is Owner/physician and has the following contact phone number (256) 259-3600.

The CLIA number assigned to this NPI record is 01D2112364 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2014 and was last updated on 1/25/2014.

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:

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