Organization Name: | ANNISTON PEDIATRICS INC |
NPI Number: | 1801130497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEWIS CARPENTER DOGGETT (OWNER/MD) |
Mailing Address: | 1001 Leighton Ave Anniston |
State: | AL US |
Postal Code: | 362075701 |
Phone Number: | 2562371618 |
Fax Number: | 2562372661 |
NPI Enumeration Date: | 11/20/2012 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C1851A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |