Organization
ABC PEDIATRICS WEST LLC
Active
Other names
ABC Pediatrics West
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH VARDEN GANN CRNP (CERTIFIED RN PRACTITIONER)
(205) 936-8107
Entity
Organization
Contact information
Practice address
400 19TH ST E, JASPER, AL 35501-5416
(205) 936-8107
(205) 512-2548
Mailing address
400 19TH ST E, JASPER, AL 35501-5416
(205) 936-8107
(205) 512-2548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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