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Contact Information

RIVERSIDE PEDIATRICS OF DECATUR LLP
1304 13TH AVE SE STE D
DECATUR, AL35601-4316
 Phone: 256-355-1843
 Fax: 256-340-2553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for RIVERSIDE PEDIATRICS OF DECATUR LLP · (Female)

NPI Number 1720448897
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2016
Last updated 03/02/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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