Organization
COOSA VALLEY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W HARDY M.D. (PRESIDENT)
(256) 208-0060
Entity
Organization
Contact information
Practice address
209 W SPRING ST, SUITE 304, SYLACAUGA, AL 35150-2973
(256) 208-0060
Mailing address
209 W SPRING ST, SUITE 304, SYLACAUGA, AL 35150-2973
(256) 208-0060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28055
AL
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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