ABC PEDIATRIC CLINIC LLC NPI 1841495603

NPI Details

ABC PEDIATRIC CLINIC LLC is a legal medicine in Cullman, AL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. ABC PEDIATRIC CLINIC LLC NPI is 1841495603. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1900 MAIN AVE SW
CULLMAN, AL
ZIP 35055-200
Phone: (256) 734-3759
Fax: (256) 734-9764

The provider's authorized official is Lisa Karen Joines .
The authorized official title is Owner and has the following contact phone number (256) 734-3759.

The CLIA number assigned to this NPI record is 01D1034123 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 6/4/2008.

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:

Other Identifiers

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