MEDICAL EAST OF DECATUR INC NPI 1700238508

NPI Information

MEDICAL EAST OF DECATUR INC is a family nurse practitioner in Somerville, AL. MEDICAL EAST OF DECATUR INC NPI is 1700238508. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Somerville Family Medicine.

The provider's business location address is:

4166 HIGHWAY 36 E
SOMERVILLE, AL
ZIP 35670-803
Phone: (256) 778-7172
Fax: (256) 778-8910

The provider's authorized official is Jeanne D Lindsay .
The authorized official title is Office Manager and has the following contact phone number (256) 432-2822.

The CLIA number assigned to this NPI record is 01D2117528 - other - crnp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2016 and was last updated on 11/16/2016.

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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