Organization
SHOALS PEDIATRIC GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA HOWARD MARKS (OFFICE MANAGER)
(256) 766-3983
Entity
Organization
Contact information
Practice address
208 ANA DR, FLORENCE, AL 35630-1750
(256) 766-3983
(256) 764-1554
Mailing address
208 ANA DR, FLORENCE, AL 35630-1750
(256) 766-3983
(256) 764-1554
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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