Organization
SYLACAUGA PEDIATRIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REKHA CHADALAWADA M.D. (PRESIDENT)
(256) 245-3267
Entity
Organization
Contact information
Practice address
115 W CLAY ST, SYLACAUGA, AL 35150-3413
(256) 245-3267
(256) 245-2315
Mailing address
115 W CLAY ST, SYLACAUGA, AL 35150-3413
(256) 245-3267
(256) 245-2315
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
10/04/2011
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