THE ADULT MEDICAL SPECIALIST PC NPI 1366794208

NPI Information

THE ADULT MEDICAL SPECIALIST, PC is a medical specialty clinic center in Montgomery, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). THE ADULT MEDICAL SPECIALIST, PC NPI is 1366794208. The provider is registered as an organization entity type.

The provider's business location address is:

81 MARKET PL
MONTGOMERY, AL
ZIP 36117-908
Phone: (334) 277-6645
Fax: (334) 277-8985

The provider's authorized official is Roger Dale Glymph .
The authorized official title is Physician/owner and has the following contact phone number (334) 277-6645.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 10/2/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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