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Organization
ATHENS PEDIATRICS
Active
Organization
ATHENS PEDIATRICS
Active
Other names
Over The Rainbow Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELICA LEE OFFICE MANAGER (OFFICE MANAGER)
(256) 539-5339
Entity
Organization
Contact information
Practice address
2006 FRANKLIN ST., SUITE 107, HUNTSVILLE, AL 35801-4537
(256) 539-5339
(256) 536-5111
Mailing address
2006 FRANKLIN ST., SUITE 107, HUNTSVILLE, AL 35801-4537
(256) 539-5339
(256) 536-5111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AL4559
AL
208000000X
Pediatrics Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529702470
—
AL
Enumeration date
09/27/2007
Last updated
11/30/2015
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