OrganizationActive
Pediatric Specialists of Montgomery, L.L.C.
NPI 1891766762 · Pediatric Cardiology Physician · Montgomery, AL
Provider details
- NPI number
- 1891766762
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Meredith Daffin, Administrator(334) 612-2111
- License
- 16678 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
239 Mitylene Park Dr
Montgomery, AL 36117-3547
Phone: (334) 612-2111
Fax: (334) 612-2166
Approximate (ZIP-level) locationGet directions
Mailing address
239 Mitylene Park Dr
Montgomery, AL 36117-3547
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.