Organization
TENNESSEE VALLEY PEDIATRIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI S POWERS (CFO)
(256) 265-8818
Entity
Organization
Contact information
Practice address
420 LOWELL DR SE, SUITE 401, HUNTSVILLE, AL 35801-3754
(256) 265-1800
(256) 265-1801
Mailing address
420 LOWELL DR SE, SUITE 401, HUNTSVILLE, AL 35801-3754
(256) 801-6036
(256) 801-6218
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
02/26/2020
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