Provider Demographics
NPI:1013126937
Name:AUBURN PEDIATRIC AND ADULT MEDICINE, L.L.C.
Entity Type:Organization
Organization Name:AUBURN PEDIATRIC AND ADULT MEDICINE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:M,D,
Authorized Official - Phone:334-887-8707
Mailing Address - Street 1:861-A NORTH DEAN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830
Mailing Address - Country:US
Mailing Address - Phone:334-887-8707
Mailing Address - Fax:334-887-8706
Practice Address - Street 1:2353 BENT CREEK RD STE 110
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-6482
Practice Address - Country:US
Practice Address - Phone:334-887-8707
Practice Address - Fax:334-887-8706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023858261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty