Organization
MARSHALL COUNTY PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MALLORY PACKARD JR. MD (PRESIDENT)
(256) 571-8969
Entity
Organization
Contact information
Practice address
45 MEDICAL PARK DR STE B, GUNTERSVILLE, AL 35976-6999
(256) 571-8969
(256) 571-8980
Mailing address
45 MEDICAL PARK DR STE B, GUNTERSVILLE, AL 35976-6999
(256) 571-8969
(256) 571-8980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6719
AL
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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