# ABC PEDIATRIC CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447439237
- **Authorized official:** DR. LISA KAREN JOINES M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (256) 734-3759

## Contact information

- **Practice address:** 1900 MAIN AVE SW, CULLMAN, AL 35055-7200
- **Practice address phone:** (256) 734-3759
- **Practice address fax:** (256) 734-9764
- **Mailing address:** 1900 MAIN AVE SW, CULLMAN, AL 35055-7200
- **Mailing address phone:** (256) 734-3759
- **Mailing address fax:** (256) 734-9764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MD.23029 | AL | Yes |

## Other

- **Enumeration date:** 10/29/2007
- **Last updated:** 03/29/2011
