SOUTHERN MEDICAL HOLDINGS LLC NPI 1881073294

NPI Information

SOUTHERN MEDICAL HOLDINGS, LLC is a primary care clinic center in Rainbow City, AL. SOUTHERN MEDICAL HOLDINGS, LLC NPI is 1881073294. The provider is registered as an organization entity type.
The provider Is Doing Business As Raines Family Medicine.

The provider's business location address is:

190 INDEPENDENT DR STE A
RAINBOW CITY, AL
ZIP 35906-286
Phone: (256) 442-1834
Fax: (877) 991-4819

The provider's authorized official is John Mattox Raines .
The authorized official title is Owner and has the following contact phone number (256) 442-1834.

The CLIA number assigned to this NPI record is 01D2096639 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2015 and was last updated on 8/31/2021.

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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