MAGNOLIA PEDIATRICS SOUTH INC NPI 1760442164

NPI Information

MAGNOLIA PEDIATRICS SOUTH INC is an adolescent medicine pediatrics in Birmingham, 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. MAGNOLIA PEDIATRICS SOUTH INC NPI is 1760442164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1621 11TH AVE S
BIRMINGHAM, AL
ZIP 35205-703
Phone: (205) 930-9500

The provider's authorized official is Paul Amamoo .
The authorized official title is Sect-treasurer and has the following contact phone number (205) 930-9500.

The CLIA number assigned to this NPI record is 01D0300671 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/28/2006 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:

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