Organization
HAZEL GREEN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI S POWERS (CFO)
(256) 265-8818
Entity
Organization
Contact information
Practice address
13596 HIGHWAY 231 431 N STE 2, HAZEL GREEN, AL 35750-8618
(256) 428-4950
(256) 828-0526
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 801-6036
(256) 801-6218
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
02/26/2020
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