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Organization
HEALTHYKIDS OF GARDENDALE
Active
Organization
HEALTHYKIDS OF GARDENDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA KAY HARRIS M.D. (PRESIDENT/OWNER)
(205) 608-2055
Entity
Organization
Contact information
Practice address
1127 PECAN AVE, SUITE 100, GARDENDALE, AL 35071-2543
(205) 608-2055
(205) 608-2045
Mailing address
1127 PECAN AVE, SUITE 100, GARDENDALE, AL 35071-2543
(205) 608-2055
(205) 608-2045
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
00023211
AL
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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