Organization
MAGNOLIA PEDIATRICS SOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL AMAMOO (SECT-TREASURER)
(205) 930-9500
Entity
Organization
Contact information
Practice address
1621 11TH AVE S, BIRMINGHAM, AL 35205-4703
(205) 930-9500
Mailing address
1621 11TH AVE S, BIRMINGHAM, AL 35205-4703
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2006
Last updated
08/22/2020
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