NPI 1336634666

Central Pediatrics of Somerville LLC

Organisation Preferred Provider Organization Somerville, AL

Practice location

Address: 3609 Highway 67 S, Somerville, AL 35670
Phone: (256) 233-0712
Mailing address: 101 Fitness Way STE 1100, Athens, AL 35611-2481

Authorised official

Name: Christy Thomas Rutherford
Title: Cfo Office Mgr
Phone: (256) 233-0712

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Rural Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR1300X

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Registry record

NPI: 1336634666
Entity type: Organization
NPI issued: 28 Jun 2018
Record last updated: 11 Jul 2018

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.