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Contact Information

MONTGOMERY PEDIATRIC ASSOC, P.A.
420 COTTON GIN RD
MONTGOMERY, AL36117-3557
 Phone: 334-260-9129
 Fax: 334-260-9665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MONTGOMERY PEDIATRIC ASSOC, P.A.

NPI # 1770532681
LBN Legal business name MONTGOMERY PEDIATRIC ASSOC, P.A.
Authorized official VIKKI BERRY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2006
Last updated 04/15/2011 - About 15 years ago
Identifiers
AL License # 00006213
AL Medicaid 528301770
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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