Bayside Pediatrics, LLC

NPI #1245502327 in Daphne, Alabama

Provider Information

NPI Number
1245502327
Entity Type
Organization
Organization Name
Bayside Pediatrics, LLC
Primary Specialty
Pediatrics
Enumeration Date
Feb 3, 2012
Last Updated
Feb 3, 2012

Practice Location

Address
28490 2ND ST
City
Daphne
State
Alabama
ZIP Code
36526-7150
Phone
(251) 300-2030

Authorized Official

Name
RAYMOND D.A. PETERSON, M.D.
Title
OWNER
Phone
(251) 300-2033

Specialties & Taxonomy Codes

Specialty
Pediatrics

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