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SHOALS MEDICAL GROUP LLC NPI 1891930491


NPI Information

NPI: 1891930491
Provider Name: SHOALS MEDICAL GROUP, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1120 S JACKSON HWY
SUITE 301-B
SHEFFIELD, AL
ZIP 35660
Phone: (256) 320-5405
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SHOALS MEDICAL GROUP, LLC is a general practice in Sheffield, 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 SHOALS MEDICAL GROUP, LLC NPI is 1891930491. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 S JACKSON HWY
SUITE 301-B
SHEFFIELD, AL
ZIP 35660-777
Phone: (256) 320-5405
Fax: (256) 320-5407

The provider's authorized official is Mohammad Siddique .
The authorized official title is Director and has the following contact phone number (256) 320-5405.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 4/23/2010.


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
1208D00000XGeneral Practice22371ALABAMAYes

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
16210700001MEDICARE NSCALABAMA

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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