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Scottsboro Medical Clinic LLC

Clinic/Center in Scottsboro, AL. Organization (NPI-2).

NPI number1477847713
StatusActive
Last updated in NPPESJun 3, 2011

Details

NPI
1477847713
Entity type
Organization (NPI-2)
Legal business name
Scottsboro Medical Clinic LLC
Organization subpart
No
Enumeration date
Jun 3, 2011
Last updated
Jun 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center–ALYes

Practice location

506 Harley St
Scottsboro, AL 35768-4219

Phone 256-574-6157 · Fax 256-259-0560

Mailing address

Po Box 56
Scottsboro, AL 35768-0056

Phone 256-574-6157 · Fax 256-259-0560

Authorized official

Muhammad E Ata
Owner
2564511250

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