Organization
ATHENS PEDIATRICS
Active
Other names
Over The Rainbow Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELICA LEE OFFICE MANAGER (OFFICE MANAGER)
(256) 539-5339
Entity
Organization
Contact information
Practice address
2006 FRANKLIN ST., SUITE 107, HUNTSVILLE, AL 35801-4537
(256) 539-5339
(256) 536-5111
Mailing address
2006 FRANKLIN ST., SUITE 107, HUNTSVILLE, AL 35801-4537
(256) 539-5339
(256) 536-5111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AL4559
AL
208000000X
Pediatrics Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529702470
—
AL
Enumeration date
09/27/2007
Last updated
11/30/2015
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