OrganizationActive
Adult & Pediatric Medicine PC
NPI 1073548004 · Pediatrics Physician · Montgomery, AL
Provider details
- NPI number
- 1073548004
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leatha Morgan, Vice President(334) 284-9772
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Practice location
4825 Virginia Loop Rd
Montgomery, AL 36116
Phone: (334) 286-9772
Fax: (334) 284-9828
Approximate (ZIP-level) locationGet directions
Mailing address
4825 Virginia Loop Rd
Montgomery, AL 36116
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2011-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.