Organization Name: | PEDIATRIC ASSOCIATES OF MOBILE, PA |
NPI Number: | 1619095601 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA CALE (MANAGER) |
Mailing Address: | 3719 Dauphin St Suite 102 Mobile |
State: | AL US |
Postal Code: | 366081753 |
Phone Number: | 2513441502 |
Fax Number: | 2513421116 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |