Individual
DR. GRETCHEN HILLARY VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2901 CORPORATE PARK DR, OPELIKA, AL 36801-7283
(334) 203-1766
Mailing address
2901 CORPORATE PARK DR, OPELIKA, AL 36801-7283
(334) 203-1766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL39740
SC
208000000X
Pediatrics Physician
Primary
MD.38209
AL
Other
Enumeration date
06/15/2016
Last updated
03/10/2021
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