Intrepid Internal Medicine PC

NPI #1548581705 in Moulton, Alabama

Provider Information

NPI Number: 1548581705
Entity Type: Organization
Organization Name: Intrepid Internal Medicine PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 22, 2010
Last Updated: Jun 22, 2010

Practice Location

Address: 40 MEDICAL CIR
City: Moulton
State: Alabama
ZIP Code: 35650-1256
Phone: (256) 974-0606

Authorized Official

Name: MONICA COPELAND
Title: BILLING MGR
Phone: (256) 532-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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