Organization
SYLACAUGA PEDIATRIC CLINIC, LLC
Active
Other names
Summit Pediatric Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DARK (OFFICE MANAGER)
(256) 245-3267
Entity
Organization
Contact information
Practice address
115 W CLAY ST, SYLACAUGA, AL 35150-3413
(256) 245-3267
(256) 245-2315
Mailing address
115 W CLAY ST, SYLACAUGA, AL 35150-3413
(256) 245-3267
(256) 245-2315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21818
AL
Other
Enumeration date
01/17/2007
Last updated
09/22/2014
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