Organization · Type 2 NPI
Fort Payne Pediatrics LLC
Rural Health Clinic/Center · Fort Payne, AL
NPI number
1033477393
Active
Practice location
1906 Glenn Blvd SW Ste 100A
Fort Payne, AL 35968-3546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 30426 (AL) |
| Rural Health Clinic/Center Primary | 261QR1300X | 01-8910 (AL) |
| Family Nurse Practitioner | 363LF0000X | 1-075895 (AL) |
| Family Nurse Practitioner | 363LF0000X | 1-087445 (AL) |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
Other rural health clinic/center providers in Fort Payne
About NPI 1033477393
Fort Payne Pediatrics LLC's National Provider Identifier is 1033477393, issued on Apr 24, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fort Payne, AL. The record was last updated on Mar 31, 2014.