Healthcare Provider Details
I. General information
NPI: 1760570683
Provider Name (Legal Business Name): SPRINGHILL PEDIATRICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4300 OLD SHELL RD SUITE A
MOBILE AL
36608-2048
US
IV. Provider business mailing address
4300 OLD SHELL RD SUITE A
MOBILE AL
36608-2048
US
V. Phone/Fax
- Phone: 251-342-9928
- Fax: 251-342-9938
- Phone: 251-342-9928
- Fax: 251-342-9938
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
S
FARQUHAR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 251-342-9928