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MAT MEDICAL LLC NPI 1255095261


NPI Information

NPI: 1255095261
Provider Name: MAT MEDICAL LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 01D2242789

Address:
3871 OLD US HWY 278 EAST
HOKES BLUFF, AL
ZIP 35903
Phone: (256) 492-0544
Get Directions

MAT MEDICAL LLC is an addiction medicine family medicine in Hokes Bluff, AL. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MAT MEDICAL LLC NPI is 1255095261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3871 OLD US HWY 278 EAST
HOKES BLUFF, AL
ZIP 35903
Phone: (256) 492-0544
Fax: (256) 492-0558

The provider's authorized official is Wendy Sprayberry .
The authorized official title is Director and has the following contact phone number (256) 997-6502.

The CLIA number assigned to this NPI record is 01D2242789 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 10/26/2021.


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
1207QA0401XFamily MedicineAddiction 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: 4/28/2024

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