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Organization
PEDIATRIC ASSOCIATES OF DECATUR LLC
Active
Organization
PEDIATRIC ASSOCIATES OF DECATUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHIL S VALAVALKAR MD (PHYSICIAN/OWNER)
(256) 306-9400
Entity
Organization
Contact information
Practice address
1874 BELTLINE RD SW, SUITE 160, DECATUR, AL 35601-5514
(256) 306-9400
(256) 306-9896
Mailing address
1874 BELTLINE RD SW, SUITE 160, DECATUR, AL 35601-5514
(256) 306-9400
(256) 306-9896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD29718
AL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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