Pediatric & Adolescent Clinic of Louisiana LLC
Pediatric & Adolescent Clinic of Louisiana LLC is a Pediatrics Physician in Vidalia, Louisiana. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1806 Carter StVidalia, LA 71373-3115
Phone: (318) 336-7172
Fax: (318) 336-7176
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X |
Record details
| NPI number | 1346092038 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Timm — Medical Director · (601) 442-7676 |
| NPI enumerated | April 4, 2024 |
| Last updated in NPPES | May 26, 2026 |
| Certification date | May 26, 2026 |
| Mailing address | 308 Highland Blvd, Natchez, MS 39120-4611 |
Other providers in Vidalia
-
David Alan Timm
1806 Carter St, Vidalia, LA 71373-3115 · (318) 336-7172