Little River Pediatrics INC

NPI #1154107951 in Muscle Shoals, Alabama

Provider Information

NPI Number: 1154107951
Entity Type: Organization
Organization Name: Little River Pediatrics INC
Primary Specialty: Pediatrics
Enumeration Date: Sep 6, 2023
Last Updated: Sep 6, 2023

Practice Location

Address: 314 WOODWARD AVE STE C
City: Muscle Shoals
State: Alabama
ZIP Code: 35661-1540
Phone: (256) 412-4743

Authorized Official

Name: DONNA MONTGOMERY BOGUS, NP
Title: OWNER
Phone: (256) 412-4743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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