Provider Demographics
NPI:1538574116
Name:GROWING TOGETHER PEDIATRICS
Entity type:Organization
Organization Name:GROWING TOGETHER PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, EMPLOYED PHYSICIAN NETWORK
Authorized Official - Prefix:
Authorized Official - First Name:DARCELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-341-2802
Mailing Address - Street 1:1215 7TH ST SE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3337
Mailing Address - Country:US
Mailing Address - Phone:256-351-5405
Mailing Address - Fax:256-351-5418
Practice Address - Street 1:1215 7TH ST SE
Practice Address - Street 2:SUITE 230
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3337
Practice Address - Country:US
Practice Address - Phone:256-351-5405
Practice Address - Fax:256-351-5418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty