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Contact Information

ABC PEDIATRIC CLINIC, LLC
1900 MAIN AVE SW
CULLMAN, AL35055-7200
 Phone: 256-734-3759
 Fax: 256-734-9764
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for ABC PEDIATRIC CLINIC, LLC

NPI Number 1447439237
LBN Legal business name ABC PEDIATRIC CLINIC, LLC
Authorized official LISA JOINES - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2007
Last updated 03/29/2011 - About 15 years ago
Identifiers
AL License # MD.23029
AL Medicaid 529916230
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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