Pediatric Adolescent Medicine, Inc.

LBN: Pediatric Adolescent Medicine, Inc.
Pediatric Adolescent Medicine, Inc. is an health care organization with primary practice located at 1107 Voeglin Ave Suite 202, Selma AL 36703-4301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Pediatric Adolescent Medicine, Inc. can be contacted via phone (334) 874-4843, or through Kendrick-Robinson, Patricia Ann via phone (334) 874-4843.

Contact Information

Primary practice address
1107 Voeglin Ave Suite 202 Selma AL 36703-4301
Fax: (334) 874-9598
Website:
Authorized official contact:
Name: Kendrick-Robinson, Patricia Ann

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 14314 Alabama

Profile Details

NPI number 1902975899
LBN Legal business name Pediatric Adolescent Medicine, Inc.
DBA Doing business as
Authorized official Kendrick-Robinson, Patricia Ann
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902975899 NPPES
Alabama Other 51500362 BCBS

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