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1588425953
PEDIATRIC CLINIC LLC
AUBURN, AL
NPI
1588425953
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Entity Type
Organization
Authorized Contact
JERRY PASCHAL HAYNES
Administrator
334-749-8121
Organization Subpart ?
Yes
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
PEDIATRIC CLINIC LLC
2375 CHAMPIONS BLVD STE 3
AUBURN, AL 36830-6471
Phone number: 334-749-8121
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Mailing Address
PEDIATRIC CLINIC LLC
2401 VILLAGE PROFESSIONAL DR S
OPELIKA, AL 36801-4702
Phone number: 334-749-8121
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