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Organization

LITTLE RIVER PEDIATRICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA MONTGOMERY BOGUS NP (OWNER)
(256) 412-4743
Entity
Organization

Contact information

Practice address
314 WOODWARD AVE STE C, MUSCLE SHOALS, AL 35661-1540
(256) 412-4743
Mailing address
140 ABBEY LN, KILLEN, AL 35645-8702
(256) 412-4743

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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