PREMIER MEDICAL CLINIC LLC NPI 1083955173

NPI Information

PREMIER MEDICAL CLINIC LLC is a multi-specialty clinic center in Scottsboro, AL. PREMIER MEDICAL CLINIC LLC NPI is 1083955173. The provider is registered as an organization entity type.

The provider's business location address is:

503 BURLINGTON STREET
SCOTTSBORO, AL
ZIP 35768
Phone: (256) 259-1886

The provider's authorized official is Muhammad Ata .
The authorized official title is Owner and has the following contact phone number (256) 451-1250.

The CLIA number assigned to this NPI record is 01D2055996 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2013 and was last updated on 3/14/2013.

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:

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