Main Street Medical Clinic LLC

NPI #1306145289 in Pell City, Alabama

Provider Information

NPI Number
1306145289
Entity Type
Organization
Organization Name
Main Street Medical Clinic LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Mar 18, 2011
Last Updated
Mar 18, 2011

Practice Location

Address
1508 COGSWELL AVE
State
Alabama
ZIP Code
35125-1243
Phone
(205) 814-1598

Authorized Official

Name
MARY SUE SUGGS, CRNP
Title
OWNER
Phone
(205) 814-1598

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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