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Organization
PRIMARY CARE PEDIATRICS AND FAMILY MEDICINE, P.C
Active
Organization
PRIMARY CARE PEDIATRICS AND FAMILY MEDICINE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRADDHA SHRESTHA M.D (CEO)
(256) 425-3668
Entity
Organization
Contact information
Practice address
29869 CAPSHAW ROAD, HARVEST, AL 35749
(256) 262-1040
(256) 325-2180
Mailing address
PO BOX 269, CAPSHAW, AL 35742-0269
(256) 262-1040
(256) 325-2180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
09/02/2016
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