Organization
LANIER PEDIATRICS
Active
Parent organization
CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
Authorized official
DOUG DEWBERRY (CEO)
(334) 756-1428
Entity
Organization
Contact information
Practice address
4900 20TH AVE, VALLEY, AL 36854-3549
(334) 756-5137
Mailing address
4900 20TH AVE, VALLEY, AL 36854-3549
(334) 756-5137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.30505
AL
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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