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DEMOPOLIS PEDIATRICS NPI 1699914770

NPI Profile

NPI: 1699914770
Provider Name: DEMOPOLIS PEDIATRICS
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
105 US HIGHWAY 80 E
SUITE 205
DEMOPOLIS, AL
ZIP 36732
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Phone: (334) 289-5770

DEMOPOLIS PEDIATRICS is an adolescent medicine pediatrics in Demopolis, AL. The provider is 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. DEMOPOLIS PEDIATRICS NPI is 1699914770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 US HIGHWAY 80 E
SUITE 205
DEMOPOLIS, AL
ZIP 36732-605
Phone: (334) 289-5770
Fax: (334) 289-5758

The provider's authorized official is Milton S Brasfield .
The authorized official title is Milton S. Brasfield, Iii, M. D. and has the following contact phone number (334) 289-5770.

The enumeration date for this NPI number is 2/12/2009 and was last updated on 2/12/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

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: 11/24/2020

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