GULF FAMILY MEDICAL LLC NPI 1285374470

NPI Information

GULF FAMILY MEDICAL LLC is a primary care clinic center in Summerdale, AL. GULF FAMILY MEDICAL LLC NPI is 1285374470. The provider is registered as an organization entity type.
The provider Is Doing Business As Summerdale Medical Clinic.

The provider's business location address is:

511 STATE HIGHWAY 59 N
SUMMERDALE, AL
ZIP 36580-686
Phone: (256) 550-1415

The provider's authorized official is Amanda Maddox .
The authorized official title is Business Owner and has the following contact phone number (251) 989-9400.

The CLIA number assigned to this NPI record is 01D2259334 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 10/17/2022.

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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