Organization · NPI-2

Alliance Primary Care LLC

Family Medicine · Hoover, AL

NPI number1457032500
StatusActive
Last updated in NPPESFeb 16, 2025

Details

NPI
1457032500
Entity type
Organization (NPI-2)
Legal business name
Alliance Primary Care LLC
Organization subpart
No
Enumeration date
Jul 31, 2023
Certification date
Feb 16, 2025
Last updated
Feb 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

5330 Stadium Trace Pkwy Ste 150
Hoover, AL 35244-4528

Phone 205-588-1748 · Fax 888-571-6217

Mailing address

2101 Highland Ave S Ste 350
Birmingham, AL 35205-4009

Phone 205-933-2125

Authorized official

Anisa Ssengoba-Ubogu
Owner/Provider
2055881748

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