| Summerdale Family Medicine, Pc | |
|
109 Highway 59 N Summerdale AL 36580 | |
| (251) 989-9400 | |
| (251) 989-2090 |
| Full Name | Summerdale Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Highway 59 N, Summerdale, Alabama |
| Authorized Official Name and Position | Michael Todd Sanford (PRESIDENT) |
| Authorized Official Contact | 2519899400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summerdale Family Medicine, Pc Po Box 600 Summerdale AL 36580-0600 Ph: (251) 989-9400 | Summerdale Family Medicine, Pc 109 Highway 59 N Summerdale AL 36580 Ph: (251) 989-9400 |
| NPI Number | 1508043662 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508043662 | NPI | - | NPPES |
| 051555997 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26509 (Alabama) | Primary |
Summerdale Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 State Highway 59 N, Summerdale, AL 36580 Phone: 256-550-1415 |