Organization
SMART START PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHEA DALTON (CREDENTIALING CONTACT/OFFICE MANAGE)
(256) 891-0300
Entity
Organization
Contact information
Practice address
460 AL HIGHWAY 75 N, ALBERTVILLE, AL 35951-3838
(256) 891-0300
(256) 891-7461
Mailing address
460 AL HIGHWAY 75 N, ALBERTVILLE, AL 35951-3838
(256) 891-0300
(256) 891-7461
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
AL
Other
Enumeration date
03/17/2014
Last updated
01/29/2018
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