NPI | 1316714512 |
---|---|
Doing Business As | ABC PEDIATRICS WEST |
Entity Type | Organization |
Authorized Contact | LEAH VARDEN GANN Certified RN Practitioner 205-936-8107 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-12-07 |
Last Update Date | 2023-12-07 |