Organization
DECATUR MORGAN PEDIATRICS-RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK HUBLER (DIRECTOR)
(256) 973-2802
Entity
Organization
Contact information
Practice address
1304 13TH AVE SE STE B, DECATUR, AL 35601-4316
(256) 355-1843
Mailing address
1304 13TH AVE SE STE B, DECATUR, AL 35601-4316
(256) 355-1843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-10334
AL
208000000X
Pediatrics Physician
35949
AL
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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