REMNANT MEDICINE LLC NPI 1164891248

NPI Information

NPI: 1164891248
Provider Name: REMNANT MEDICINE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D2104062

Address:
1805 STATION DR
PRATTVILLE, AL
ZIP 36066
Phone: (334) 730-0880
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REMNANT MEDICINE LLC is a primary care clinic center in Prattville, AL. REMNANT MEDICINE LLC NPI is 1164891248. The provider is registered as an organization entity type.

The provider's business location address is:

1805 STATION DR
PRATTVILLE, AL
ZIP 36066-667
Phone: (334) 730-0880
Fax: (334) 730-0877

The provider's authorized official is Amanda Wilcox .
The authorized official title is Physician/manager and has the following contact phone number (334) 730-0880.

The CLIA number assigned to this NPI record is 01D2104062 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 9/18/2015.

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	150982	ALABAMA	Yes

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

NPI Synchronization or Removal

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