Organization
LIBERTY MOUNTAIN PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG WILLIAM THOMAS (ADMINISTRATOR)
(205) 709-1650
Entity
Organization
Contact information
Practice address
4600 HIGHWAY 280, BIRMINGHAM, AL 35242-5028
(205) 790-1650
Mailing address
4600 HIGHWAY 280, BIRMINGHAM, AL 35242-5028
(205) 790-1650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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