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SHOALS PEDIATRIC GROUP PC NPI 1609971647


NPI Information

NPI: 1609971647
Provider Name: SHOALS PEDIATRIC GROUP PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 01D0302538

Address:
208 ANA DR
FLORENCE, AL
ZIP 35630
Phone: (256) 766-3983
Get Directions

SHOALS PEDIATRIC GROUP PC is a pediatrics in Florence, 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. SHOALS PEDIATRIC GROUP PC NPI is 1609971647. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 ANA DR
FLORENCE, AL
ZIP 35630-750
Phone: (256) 766-3983
Fax: (256) 764-1554

The provider's authorized official is Glenda Howard Marks .
The authorized official title is Office Manager and has the following contact phone number (256) 766-3983.

The CLIA number assigned to this NPI record is 01D0302538 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/22/2020.


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: 11/14/2023

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