Abc Pediatrics West LLC

NPI #1316714512 in Jasper, Alabama

Provider Information

NPI Number: 1316714512
Entity Type: Organization
Organization Name: Abc Pediatrics West LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 7, 2023
Last Updated: Dec 7, 2023

Practice Location

Address: 400 19TH ST E
City: Jasper
State: Alabama
ZIP Code: 35501-5416
Phone: (205) 936-8107

Authorized Official

Name: MRS. LEAH VARDEN GANN, CRNP
Title: CERTIFIED RN PRACTITIONER
Phone: (205) 936-8107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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