Organization
TADPOLE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE HANNA CRNP (OWNER)
(256) 234-4443
Entity
Organization
Contact information
Practice address
239 CHURCH ST STE A, ALEXANDER CITY, AL 35010-2517
(256) 234-4443
(256) 234-3686
Mailing address
PO BOX 2008, ALEXANDER CITY, AL 35011-2008
(256) 234-4443
(256) 234-3686
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
01/07/2026
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