Pediatric & Adolescent Clinic of Louisiana LLC

NPI #1346092038 in Vidalia, Louisiana

Provider Information

NPI Number: 1346092038
Entity Type: Organization
Organization Name: Pediatric & Adolescent Clinic of Louisiana LLC
Primary Specialty: Pediatrics
Enumeration Date: Apr 4, 2024
Last Updated: Apr 4, 2024

Practice Location

Address: 1806 CARTER ST
City: Vidalia
State: Louisiana
ZIP Code: 71373-3115
Phone: (318) 336-7172

Authorized Official

Name: DR. DAVID TIMM, MD
Title: MEDICAL DIRECTOR
Phone: (601) 442-7676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
David Alan Timm	Pediatrics	Vidalia	AI Deep Dive

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