Organization
SPRINGVILLE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA CHADWICK CPNP (OWNER)
(256) 490-0361
Entity
Organization
Contact information
Practice address
350 SPRINGVILLE STATION BLVD, SPRINGVILLE, AL 35146
(256) 490-0361
Mailing address
350 SPRINGVILLE STA, SPRINGVILLE, AL 35146-6163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
11/08/2017
Last updated
05/07/2020
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