SOUTH TRACE PEDIATRICS P.C. NPI 1437207743

NPI Information

NPI: 1437207743
Provider Name: SOUTH TRACE PEDIATRICS, P.C.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5356 STADIUM TRACE PKWY
SUITE 200
HOOVER, AL
ZIP 35244
Phone: (205) 985-9424
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SOUTH TRACE PEDIATRICS, P.C. is a health service clinic center in Hoover, AL. SOUTH TRACE PEDIATRICS, P.C. NPI is 1437207743. The provider is registered as an organization entity type.

The provider's business location address is:

5356 STADIUM TRACE PKWY
SUITE 200
HOOVER, AL
ZIP 35244-607
Phone: (205) 985-9424
Fax: (205) 985-9465

The provider's authorized official is Jeffrey A. Malone .
The authorized official title is President and has the following contact phone number (205) 985-9424.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 7/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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