DR KEITH DISMUKES L.L.C. NPI 1801161138

NPI Information

NPI: 1801161138
Provider Name: DR KEITH DISMUKES L.L.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 01D0683115

Address:
202 US HIGHWAY 80 E
DEMOPOLIS, AL
ZIP 36732
Phone: (334) 289-0499
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DR KEITH DISMUKES L.L.C. is a primary care clinic center in Demopolis, AL. DR KEITH DISMUKES L.L.C. NPI is 1801161138. The provider is registered as an organization entity type.

The provider's business location address is:

202 US HIGHWAY 80 E
DEMOPOLIS, AL
ZIP 36732-622
Phone: (334) 289-0499
Fax: (334) 289-3013

The provider's authorized official is Lauri Anne Cameron .
The authorized official title is Asst. Office Manager and has the following contact phone number (334) 287-2584.

The CLIA number assigned to this NPI record is 01D0683115 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2012 and was last updated on 3/20/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	AD7121724	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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