Pediatric Clinic LLC

NPI #1588425953 in Auburn, Alabama

Provider Information

NPI Number: 1588425953
Entity Type: Organization
Organization Name: Pediatric Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC CLINIC LLC
Primary Specialty: Pediatrics
Enumeration Date: Jan 22, 2024
Last Updated: Jan 22, 2024

Practice Location

Address: 2375 CHAMPIONS BLVD STE 3
City: Auburn
State: Alabama
ZIP Code: 36830-6471
Phone: (334) 749-8121

Authorized Official

Name: JERRY PASCHAL HAYNES
Title: ADMINISTRATOR
Phone: (334) 749-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Larry Edward Thorne, M.D.	Pediatrics	Auburn	AI Deep Dive
DR. Jessica Rian Williams Anglin, MD	Pediatrics	Auburn	AI Deep Dive

Organizations

Provider Name	Specialty	City
Pediatric Clinic LLC	Pediatrics	Auburn	AI Deep Dive
Larry E. Thorne MD LLC	Pediatrics	Auburn	AI Deep Dive
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