Organization
PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC OWEN TYLER M.D. (PRESIDENT/CEO)
(256) 234-5021
Entity
Organization
Contact information
Practice address
1962 CHEROKEE RD, ALEXANDER CITY, AL 35010-3437
(256) 234-5021
(256) 234-5640
Mailing address
PO BOX 1269, ALEXANDER CITY, AL 35011-1269
(256) 234-5021
(256) 234-5640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528501050
—
AL
Enumeration date
04/17/2006
Last updated
09/25/2019
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