Organization
CENTRAL PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY C CROWELL M.D (OWNER/PRESIDENT)
(256) 233-0712
Entity
Organization
Contact information
Practice address
707 US HIGHWAY 31 S, ATHENS, AL 35611-3619
(256) 233-0712
(256) 233-3535
Mailing address
707 US HIGHWAY 31 S, ATHENS, AL 35611-3619
(256) 233-0712
(256) 233-3535
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25244
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51517667
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
01/30/2008
Last updated
01/30/2008
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