MCMD LLC NPI 1477068468

NPI Information

NPI: 1477068468
Provider Name: MCMD LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
22292 US HIGHWAY 72
ATHENS, AL
ZIP 35613
Phone: (256) 614-2444
Get Directions

MCMD LLC is a primary care clinic center in Athens, AL. MCMD LLC NPI is 1477068468. The provider is registered as an organization entity type.

The provider's business location address is:

22292 US HIGHWAY 72
ATHENS, AL
ZIP 35613-604
Phone: (256) 614-2444

The provider's authorized official is Matthew Bragg Caldwell .
The authorized official title is Physician and has the following contact phone number (256) 614-2444.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 3/16/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	32665	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32665	OTHER	ALABAMA	STATE LICENSE

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »