is a Medical in Montgomery, Alabama. practices all healthcare services and medical treatments related to Medical. The NPI Number for is 1073564670. The last update date is .
's current location address is 301 Brown Springs Rd, Montgomery, Alabama. You can contact this provider via phone number 3342734508 and fax number 3342734290. The mailing address for is 301 Brown Springs Rd, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 301 Brown Springs Rd, Montgomery, Alabama |
| Phone Number | 3342734508 |
| Fax Number | 3342734290 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073564670 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 301 Brown Springs Rd |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361177005 |
| Phone Number | 3342734508 |
| Fax Number | 3342734290 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA151 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51556080 | AL | -- |
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