Organization
OPELIKA PEDIATRICS & FAMILY CLINIC PC
Active
Other names
Preferred Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITU CHANDRA M.D (PRESIDENT)
(334) 664-0463
Entity
Organization
Contact information
Practice address
5809 HWY 280E, OPELIKA, AL 36804
(334) 705-6966
(334) 664-0466
Mailing address
3700 S RAILROAD ST STE A, PHENIX CITY, AL 36867-2994
(334) 664-0463
(334) 664-0466
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
AL
207QA0505X
Adult Medicine Physician
—
AL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
AL
208000000X
Pediatrics Physician
—
AL
208D00000X
General Practice Physician
—
AL
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2014
Last updated
06/09/2017
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