| Central Pediatrics Of Somerville Llc | |
|
3609 Highway 67 S Somerville AL 35670 | |
| (256) 233-0712 | |
| Not Available |
| Full Name | Central Pediatrics Of Somerville Llc |
|---|---|
| Speciality | Preferred Provider Organization |
| Location | 3609 Highway 67 S, Somerville, Alabama |
| Authorized Official Name and Position | Christy Thomas Rutherford (CFO OFFICE MGR) |
| Authorized Official Contact | 2562330712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Pediatrics Of Somerville Llc 101 Fitness Way Ste 1100 Athens AL 35611-2481 Ph: (256) 233-0712 | Central Pediatrics Of Somerville Llc 3609 Highway 67 S Somerville AL 35670 Ph: (256) 233-0712 |
| NPI Number | 1336634666 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336634666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Primary |