ANGELA M. MARTIN NPI 1932443868

NPI Information

ANGELA M. MARTIN is a rural health clinic center in Talladega, AL. ANGELA M. MARTIN NPI is 1932443868. The provider is registered as an organization entity type.
The provider Other Name Is Pediatric Care Center Of Northeast Alabama.

The provider's business location address is:

200 BATTLE ST E
SUITE B
TALLADEGA, AL
ZIP 35160-420
Phone: (256) 368-9800
Fax: (256) 237-8400

The provider's authorized official is Angela M. Martin .
The authorized official title is Owner and has the following contact phone number (256) 368-9800.

The CLIA number assigned to this NPI record is 01D0892637 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 10/10/2013.

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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