MEDICAL EAST OF DECATUR INC NPI 1659518553

NPI Information

NPI: 1659518553
Provider Name: MEDICAL EAST OF DECATUR INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 01D2001465

Address:
2941 POINT MALLARD PKWY SE
STE N
DECATUR, AL
ZIP 35603
Phone: (256) 432-2822
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MEDICAL EAST OF DECATUR INC is a family nurse practitioner in Decatur, AL. MEDICAL EAST OF DECATUR INC NPI is 1659518553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2941 POINT MALLARD PKWY SE
STE N
DECATUR, AL
ZIP 35603-716
Phone: (256) 432-2822
Fax: (256) 432-2825

The provider's authorized official is Kim L Harbin .
The authorized official title is Owner and has the following contact phone number (256) 432-2822.

The CLIA number assigned to this NPI record is 01D2001465 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 11/13/2013.

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	363LF0000X	Nurse Practitioner	Family	1105407	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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