Organization
PEDIATRIC ADOLESCENT MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN KENDRICK-ROBINSON (M.D.)
(334) 874-4843
Entity
Organization
Contact information
Practice address
1107 VOEGLIN AVE, SUITE 202, SELMA, AL 36703-4301
(334) 874-4843
(334) 874-9598
Mailing address
1107 VOEGLIN AVE, SUITE 202, SELMA, AL 36703-4301
(334) 874-4843
(334) 874-9598
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
14314
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51500362
BCBS
AL
Enumeration date
11/07/2006
Last updated
08/22/2020
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