Organization
HERITAGE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTE RUFFIN (PHYSICIAN OWNER)
(256) 794-8007
Entity
Organization
Contact information
Practice address
3358 HIGHWAY 280, SUITE 108, ALEXANDER CITY, AL 35010
(256) 794-8007
Mailing address
PO BOX 2040, ALEXANDER CITY, AL 35011-2040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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