Organization
PROFESSIONAL PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALLEN WHITE MD (PRESIDENT)
(334) 271-5959
Entity
Organization
Contact information
Practice address
4154 CARMICHEAL ROAD, MONTGOMERY, AL 36106
(334) 271-5959
(334) 272-8775
Mailing address
4154 CARMICHEAL ROAD, MONTGOMERY, AL 36106
(334) 271-5959
(334) 272-8775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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