Organization
PEDIATRIC CLINIC LLC
Active
Other names
PEDIATRIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRYANT SMALLEY M.D. (OFFICER)
(334) 749-8121
Entity
Organization
Contact information
Practice address
760 E GLENN AVE, AUBURN, AL 36830-5017
(334) 749-8121
(334) 749-6166
Mailing address
2401 VILLAGE PROFESSIONAL DRIVE, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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