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PRO-MED P.C. NPI 1811957467


NPI Information

NPI: 1811957467
Provider Name: PRO-MED, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0909012

Address:
302 PAUL STABLER DRIVE
GREENVILLE, AL
ZIP 36037
Phone: (334) 382-0530
Get Directions

PRO-MED, P.C. is a family medicine in Greenville, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRO-MED, P.C. NPI is 1811957467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 PAUL STABLER DRIVE
GREENVILLE, AL
ZIP 36037-871
Phone: (334) 382-0530
Fax: (334) 382-0498

The provider's authorized official is Chandra Shekar .
The authorized official title is President and has the following contact phone number (334) 382-0530.

The CLIA number assigned to this NPI record is 01D0909012 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 10/4/2010.


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
1207Q00000XFamily Medicine19482ALABAMAYes

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
1000030326MEDICARE PINALABAMA
2F73658MEDICARE UPINALABAMA
3000030326MEDICAIDALABAMA
4000030326MEDICARE ID-TYPE UNSPECIFIEDALABAMA

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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