| Childrens Medical Group P C | |
|
2316 7th Ave S Suite 100 Birmingham AL 35233-3200 | |
| (205) 251-4141 | |
| (205) 251-2004 |
| Full Name | Childrens Medical Group P C |
|---|---|
| Speciality | Pediatrics |
| Location | 2316 7th Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Brian Lasker (OWNER) |
| Authorized Official Contact | 2055150538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Medical Group P C 2316 7th Ave S Ste 100 Birmingham AL 35233-3215 Ph: (205) 251-4141 | Childrens Medical Group P C 2316 7th Ave S Suite 100 Birmingham AL 35233-3200 Ph: (205) 251-4141 |
| NPI Number | 1184771636 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 09/09/2024 |
| Medicare PECOS PAC ID | 4486042157 |
|---|---|
| Medicare Enrollment ID | O20211028003133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184771636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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