Magnolia Commons Pediatrics LLC

NPI #1013280486 in Wetumpka, Alabama

Provider Information

NPI Number
1013280486
Entity Type
Organization
Organization Name
Magnolia Commons Pediatrics LLC
Primary Specialty
Pediatrics - Adolescent Medicine
Enumeration Date
Feb 16, 2012
Last Updated
Feb 16, 2012

Practice Location

Address
78 CAMBRIDGE CT
State
Alabama
ZIP Code
36093-1259
Phone
(334) 567-4311

Authorized Official

Name
MICHAEL D BRUCE
Title
CEO
Phone
(334) 567-4311

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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