Southeast Pediatrics

LBN: Southeast Pediatrics
Southeast Pediatrics is an health care organization with primary practice located at 804 Crawford St , Tuskegee AL 36083-7262. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southeast Pediatrics can be contacted via phone (334) 724-0350, or through Walker, Mollie Ann via phone (334) 724-0550.

Contact Information

Primary practice address
804 Crawford St Tuskegee AL 36083-7262
Phone: (334) 724-0350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Mollie Ann Doctor of Medicine (MD)
Phone: (334) 724-0550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0011822 Alabama

Profile Details

NPI number 1790844819
LBN Legal business name Southeast Pediatrics
DBA Doing business as
Authorized official Walker, Mollie Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790844819 NPPES
Alabama Other 0011822 LICENSE NUMBER
Alabama Other 5L502423 LICENSE NUMBER

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