Organization
ROSS BRIDGE MEDICAL CENTER PEDIATRICS, LLC
Active
Organization
ROSS BRIDGE MEDICAL CENTER PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURVI SHAH (CEO)
(205) 494-7337
Entity
Organization
Contact information
Practice address
3635 MARKET ST STE B, BIRMINGHAM, AL 35226-6391
(205) 494-7337
Mailing address
7118 LAKE RUN CIR, VESTAVIA, AL 35242-7500
(813) 416-6438
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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