Organization
PRIMARY CARE PEDIATRICS AND FAMILY MEDICINE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRADDHA SHRESTHA M.D (CEO)
(256) 425-3668
Entity
Organization
Contact information
Practice address
29869 CAPSHAW ROAD, HARVEST, AL 35749
(256) 262-1040
(256) 325-2180
Mailing address
PO BOX 269, CAPSHAW, AL 35742-0269
(256) 262-1040
(256) 325-2180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
09/02/2016
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