Organization
MICHAEL W. PEADEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE S BELLEW (OFFICE MANAGER)
(334) 283-3477
Entity
Organization
Contact information
Practice address
115 HERREN HILL RD, TALLASSEE, AL 36078-1276
(334) 283-3477
Mailing address
115 HERREN HILL RD, TALLASSEE, AL 36078-1276
(334) 283-3477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15415
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529916890
—
AL
Enumeration date
04/19/2006
Last updated
05/01/2008
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