National Provider Identifier Database

PEDIATRIC ADOLESCENT MEDICINE INC
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PEDIATRIC ADOLESCENT MEDICINE, INC.
1107 VOEGLIN AVE
SUITE 202
SELMA, AL36703-4301
Phone: 334-874-4843
Fax: 334-874-9598
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC ADOLESCENT MEDICINE, INC.

NPI Number 1902975899
Legal business name
LBN
PEDIATRIC ADOLESCENT MEDICINE, INC.
Authorized official PATRICIA KENDRICK-ROBINSON - (M.D.)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 14314
  • AL Other: 51500362 BCBS

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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