MONTEVALLO FAMILY MEDICINE LLC NPI 1720009962

NPI Information

MONTEVALLO FAMILY MEDICINE, LLC is a family medicine in Montevallo, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MONTEVALLO FAMILY MEDICINE, LLC NPI is 1720009962. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 SALEM RD
SUITE 1
MONTEVALLO, AL
ZIP 35115-586
Phone: (205) 665-7991
Fax: (205) 665-2913

The provider's authorized official is Jonathan C. Merkle .
The authorized official title is Physician and has the following contact phone number (205) 665-7991.

The CLIA number assigned to this NPI record is 01D0300275 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/22/2006 and was last updated on 11/7/2011.

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

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