PEDIATRIC ASSOCIATES OF AUBURN, Adolescent Medicine OPELIKA, AL

Contact Information

PEDIATRIC ASSOCIATES OF AUBURN

2901 CORPORATE PARK DR
OPELIKA, AL 36801-7283

Phone: 334-203-1766
Fax: 334-203-1784
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for PEDIATRIC ASSOCIATES OF AUBURN · (Female)

NPI Number	`1316099203`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/18/2007
Last updated	07/12/2021 - About 5 years ago
Sole proprietor ¹	Not specified
Identifiers	AL License # 5738 AL Medicaid 000002165 AL Medicaid 000044755 AL Medicaid 528201420 AL Other 51044755 BCBS ELLEN L. ROYAL, M.D. AL Other 51002165 BCBS RICHARD M. FREEMAN,
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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