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Organization
PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC
Active
Organization
PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC OWEN TYLER (PRESIDENT)
(256) 234-5021
Entity
Organization
Contact information
Practice address
21 COOSA COUNTY ROAD 50, KELLYTON, AL 35089-1900
(256) 234-5021
Mailing address
PO BOX 1269, ALEXANDER CITY, AL 35011-1269
(256) 234-5021
(256) 234-5640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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