Organization
PEDIATRIC SPECIALISTS OF MONTGOMERY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH DAFFIN (ADMINISTRATOR)
(334) 612-2111
Entity
Organization
Contact information
Practice address
239 MITYLENE PARK DR, MONTGOMERY, AL 36117-3547
(334) 612-2111
(334) 612-2166
Mailing address
239 MITYLENE PARK DR, MONTGOMERY, AL 36117-3547
(334) 612-2111
(334) 612-2166
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
16678
AL
Other
Enumeration date
01/30/2006
Last updated
08/22/2020
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