Organization
SET APART PEDIATRICS LLC
Active
Other names
Set Apart Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A DUDLEY MD (OWNER PHYSICIAN)
(256) 508-1682
Entity
Organization
Contact information
Practice address
2112 6TH AVE SE, DECATUR, AL 35601-6510
(256) 274-5640
(256) 274-5642
Mailing address
1862 SHARP FORD RD, VALHERMOSO SPRINGS, AL 35775-7502
(256) 508-1682
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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