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PREMISE HEALTH OF ALABAMA MEDICAL P.C. NPI 1407529472


NPI Information

NPI: 1407529472
Provider Name: PREMISE HEALTH OF ALABAMA MEDICAL, P.C.

Doing Business As: LP CLARKE - THOMASVILLE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
32850 HIGHWAY 43 STE C
THOMASVILLE, AL
ZIP 36784
Phone: (334) 456-0578
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PREMISE HEALTH OF ALABAMA MEDICAL, P.C. is a multi-specialty clinic center in Thomasville, AL. PREMISE HEALTH OF ALABAMA MEDICAL, P.C. NPI is 1407529472. The provider is registered as an organization entity type.
The provider Is Doing Business As Lp Clarke - Thomasville.

The provider's business location address is:

32850 HIGHWAY 43 STE C
THOMASVILLE, AL
ZIP 36784-601
Phone: (334) 456-0578

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 7/27/2021 and was last updated on 8/25/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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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