Provider Demographics
NPI:1801852041
Name:TOTS 'N' TEENS PEDIATRICS, P.C.
Entity Type:Organization
Organization Name:TOTS 'N' TEENS PEDIATRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:2055-856-4440
Mailing Address - Street 1:3729 MARY TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3261
Mailing Address - Country:US
Mailing Address - Phone:205-856-4440
Mailing Address - Fax:205-856-4445
Practice Address - Street 1:3729 MARY TAYLOR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3261
Practice Address - Country:US
Practice Address - Phone:205-856-4440
Practice Address - Fax:205-856-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529201310Medicaid