Organization
MORGAN RD PEDIATRICS, PC DBA PEDIATRICS 459
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAMELA DIANNE DENTY (OFFICE MANAGER)
(205) 425-5440
Entity
Organization
Contact information
Practice address
6283 PARK SOUTH DR, BESSEMER, AL 35022-5681
(205) 425-5440
(205) 425-5513
Mailing address
6283 PARK SOUTH DR, BESSEMER, AL 35022-5681
(205) 425-5440
(205) 425-5513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22301
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750329785
INDIVIDUAL NPI
AL
Enumeration date
03/21/2008
Last updated
03/21/2008
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