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PINNACLE ENTERPRISES PC NPI 1447374640


NPI Information

NPI: 1447374640
Provider Name: PINNACLE ENTERPRISES PC

Other Name: PREFERRED MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3700 S RAILROAD ST STE A
PHENIX CITY, AL
ZIP 36867
Phone: (334) 664-0463
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PINNACLE ENTERPRISES PC is a general practice in Phenix City, AL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PINNACLE ENTERPRISES PC NPI is 1447374640. The provider is registered as an organization entity type.
The provider Other Name Is Preferred Medical Group.

The provider's business location address is:

3700 S RAILROAD ST STE A
PHENIX CITY, AL
ZIP 36867-994
Phone: (334) 664-0463
Fax: (334) 664-0466

The provider's authorized official is Ritu Chandra .
The authorized official title is Physician and has the following contact phone number (334) 664-0463.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2103TC0700XPsychologistClinicalNo
3207L00000XAnesthesiology26975ALABAMANo
4207Q00000XFamily Medicine7157ALABAMANo
5208000000XPediatrics26862ALABAMANo
6208D00000XGeneral Practice7157ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1529930990MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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