Provider Demographics
NPI:1326448218
Name:WEE CARE PEDIATRICS LLC
Entity Type:Organization
Organization Name:WEE CARE PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHENEKA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP
Authorized Official - Phone:205-267-4098
Mailing Address - Street 1:599 BESSEMER SUPER HWY
Mailing Address - Street 2:
Mailing Address - City:MIDFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35228-3012
Mailing Address - Country:US
Mailing Address - Phone:205-267-4098
Mailing Address - Fax:205-383-2802
Practice Address - Street 1:599 BESSEMER SUPER HWY
Practice Address - Street 2:
Practice Address - City:MIDFIELD
Practice Address - State:AL
Practice Address - Zip Code:35228-3012
Practice Address - Country:US
Practice Address - Phone:205-267-4098
Practice Address - Fax:205-383-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-100394261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care