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CHILDREN'S MEDICAL GROUP P.A. NPI 1689639312


NPI Profile

NPI: 1689639312
Provider Name: CHILDREN'S MEDICAL GROUP, P.A.
Classification:Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D0305760

Address:
3920 AIRPORT BLVD
MOBILE, AL
ZIP 36608
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Phone: (251) 342-3810

CHILDREN'S MEDICAL GROUP, P.A. is a specialist in Mobile, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHILDREN'S MEDICAL GROUP, P.A. NPI is 1689639312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3920 AIRPORT BLVD
MOBILE, AL
ZIP 36608-207
Phone: (251) 342-3810
Fax: (251) 344-6752

The provider's authorized official is Fred L Shell .
The authorized official title is Business Manager and has the following contact phone number (251) 342-3810.

The CLIA number assigned to this NPI record is 01D0305760 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/18/2006 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
1174400000XSpecialistYes

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: 1/9/2022

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