Organization
PEDIATRICS PLUS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EUGENE THOMAS CRNP (OWNER)
(256) 241-2671
Entity
Organization
Contact information
Practice address
3312 HENRY RD, ANNISTON, AL 36207-6344
(256) 241-2671
(256) 241-2676
Mailing address
3312 HENRY RD, ANNISTON, AL 36207-6344
(256) 241-2671
(256) 241-2676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14173
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1084368
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122015
—
AL
Enumeration date
07/01/2010
Last updated
07/02/2014
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