NPI 1003904327

Professional Pediatrics PA

Organisation Pediatrics Physician Montgomery, AL

Practice location

Address: 4154 Carmicheal Road, Montgomery, AL 36106
Phone: (334) 271-5959
Fax: (334) 272-8775

Authorised official

Name: Charles Allen White
Title: President
Phone: (334) 271-5959

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Alabama →

Registry record

NPI: 1003904327
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.