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Organization
PEDIATRIC CLINIC LLC
Active
Organization
PEDIATRIC CLINIC LLC
Active
Other names
PEDIATRIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRYANT SMALLEY M.D. (OFFICER)
(334) 749-8121
Entity
Organization
Contact information
Practice address
760 E GLENN AVE, AUBURN, AL 36830-5017
(334) 749-8121
(334) 749-6166
Mailing address
2401 VILLAGE PROFESSIONAL DRIVE, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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