| NPI | 1578776381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN JOSEPH ALVARADO President 229-247-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 053436) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 037463) |
| 208000000X Pediatrics (Licence: GA 037463) | |
| 208000000X Pediatrics (Licence: GA 048706) | |
| 208000000X Pediatrics (Licence: GA 053436) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 037463) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 048706) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-09-11 |