Cleburne Medical Clinic, Inc.

NPI #1104891241 in Heflin, Alabama

Provider Information

NPI Number
1104891241
Entity Type
Organization
Organization Name
Cleburne Medical Clinic, Inc.
Primary Specialty
Clinic/Center
Enumeration Date
Feb 22, 2006
Last Updated
Feb 6, 2008

Practice Location

Address
40 GILES ST
City
Heflin
State
Alabama
ZIP Code
36264-1738
Phone
(256) 463-7454

Authorized Official

Name
DR. IGOR BIDIKOV, M.D.
Title
PRESIDENT AND OWNER
Phone
(256) 463-7454

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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