Organization
LIBERTY PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMERON C DESHAZO (OWNER/MANAGER)
(205) 492-0126
Entity
Organization
Contact information
Practice address
3735 CORPORATE WOODS DR STE 105, VESTAVIA, AL 35242-2296
(205) 492-0126
Mailing address
4387 BOULDER LAKE CIR, VESTAVIA, AL 35242-2116
(205) 492-0126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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