Organization
WILLOW PEDIATRIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CROCKER MITCHELL MD (OWNER, PEDIATRICIAN)
(334) 790-9546
Entity
Organization
Contact information
Practice address
2850 CAHABA RD STE 140, MOUNTAIN BRK, AL 35223-2345
(334) 790-9546
Mailing address
3507 ROCKCLIFF CIR, MOUNTAIN BRK, AL 35210-3030
(334) 790-9546
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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