Organization
CHILDRENS MEDICAL CENTER
Active
Other names
Phillip M Phillips Jr MD
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA PUCKETT (INSURANCE)
(205) 345-2677
Entity
Organization
Contact information
Practice address
1800 RICE MINE RD N, TUSCALOOSA, AL 35406-2383
(205) 345-2677
(205) 345-2679
Mailing address
1800 RICE MINE RD N, TUSCALOOSA, AL 35406-2383
(205) 345-2677
(205) 345-2679
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
11958
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16427
—
AL
05
—
558700000
—
AL
Enumeration date
06/16/2008
Last updated
06/16/2008
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