Doctor Name: | BRENDA LAYTON MCGIVERN |
NPI Number: | 1033276035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | DO1062 |
Business Practice Address: | 300 W Pettus St Demopolis, AL - 367322830 |
Business Phone Number: | 3342895770 |
Business Fax Number: | 3342895758 |
Mailing Address: | Po Box 670, DEMOPOLIS |
State: | AL |
Postal Code: | 367320670 |
Phone Number: | 3342895770 |
Fax Number: | 3342895758 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | DO1062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |