CENTRAL PEDIATRICS OF SOMERVILLE LLC

SOMERVILLE, AL
NPI1336634666
Entity TypeOrganization
Authorized ContactCHRISTY THOMAS RUTHERFORD
CFO Office Mgr
256-233-0712
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Additional Taxonomies261QR1300X Clinic/Center Rural Health
Enumeration Date2018-06-28
Last Update Date2018-07-11
Business Address
CENTRAL PEDIATRICS OF SOMERVILLE LLC
3609 HIGHWAY 67 S
SOMERVILLE, AL 35670
Phone number: 256-233-0712
Mailing Address
CENTRAL PEDIATRICS OF SOMERVILLE LLC
101 FITNESS WAY STE 1100
ATHENS, AL 35611-2481
Phone number: 256-233-0712