Organization
HEALTH SUPPORT SERVICES INC
Active
Other names
Pediatrics By The Bay
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND D A PETERSON MD (OWNER PHYSICIAN)
(251) 625-8260
Entity
Organization
Contact information
Practice address
7101 HIGHWAY 90, SUITE 204, DAPHNE, AL 36526
(251) 625-8260
(251) 625-8264
Mailing address
7101 HIGHWAY 90, SUITE 204, DAPHNE, AL 36526
(251) 625-8260
(251) 625-8264
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
11/29/2007
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