Clinic652 Llc | |
2600 E Meighan Blvd Gadsden AL 35903-1924 | |
(256) 418-4005 | |
(256) 399-0102 |
Full Name | Clinic652 Llc |
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Speciality | Internal Medicine |
Location | 2600 E Meighan Blvd, Gadsden, Alabama |
Authorized Official Name and Position | Warren Alexander O'meara-dates (MEMBER/CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2564184005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinic652 Llc 417 Taylor St Gadsden AL 35903-2557 Ph: () - | Clinic652 Llc 2600 E Meighan Blvd Gadsden AL 35903-1924 Ph: (256) 418-4005 |
NPI Number | 1508518002 |
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Provider Enumeration Date | 01/25/2022 |
Last Update Date | 01/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508518002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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