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ADERHOLT MEDICAL LLC NPI 1164023529


NPI Information

NPI: 1164023529
Provider Name: ADERHOLT MEDICAL, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D2210712

Address:
320 OLD US-31 N
ATHENS, AL
ZIP 35611
Phone: (256) 777-1278
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ADERHOLT MEDICAL, LLC is a family medicine in Athens, 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. ADERHOLT MEDICAL, LLC NPI is 1164023529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 OLD US-31 N
ATHENS, AL
ZIP 35611
Phone: (256) 777-1278

The provider's authorized official is Brady Eric Aderholt .
The authorized official title is Owner and has the following contact phone number (256) 777-1278.

The CLIA number assigned to this NPI record is 01D2210712 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/3/2020.


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 MedicineYes

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: 11/14/2023

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