| NPI | 1124847983 |
|---|---|
| Doing Business As | SET APART PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A DUDLEY Owner Physician 256-508-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |