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Contact Information

MAGNOLIA PEDIATRICS SOUTH INC
1621 11TH AVE S
BIRMINGHAM, AL35205-4703
 Phone: 205-930-9500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MAGNOLIA PEDIATRICS SOUTH INC

NPI Number 1760442164
LBN Legal business name MAGNOLIA PEDIATRICS SOUTH INC
Authorized official PAUL AMAMOO - (SECT-TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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