Provider Demographics
NPI:1902087380
Name:CHRISTINA ZANAKIS-TEMPELIS
Entity Type:Organization
Organization Name:CHRISTINA ZANAKIS-TEMPELIS
Other - Org Name:TROY PEDIATRICS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZANAKIS-TEMPELIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-566-2949
Mailing Address - Street 1:P O BOX 1148
Mailing Address - Street 2:111 SCOUTING CIRCLE
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081
Mailing Address - Country:US
Mailing Address - Phone:334-566-2949
Mailing Address - Fax:334-670-6910
Practice Address - Street 1:111 SCOUTING CIRCLE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081
Practice Address - Country:US
Practice Address - Phone:334-566-2949
Practice Address - Fax:334-670-6910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25269208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty