Premier Internal Medicine, P.c.

NPI #1073595773 in Fairhope, Alabama

Provider Information

NPI Number: 1073595773
Entity Type: Organization
Organization Name: Premier Internal Medicine, P.c.
Primary Specialty: Specialist
Enumeration Date: Nov 17, 2005
Last Updated: Sep 10, 2012

Practice Location

Address: 310 S GREENO RD
City: Fairhope
State: Alabama
ZIP Code: 36532-1905
Phone: (251) 929-0500

Authorized Official

Name: DR. JOSEPH N M NDOLO, M.D.
Title: PRESIDENT/OWNER
Phone: (251) 929-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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