Main Street Clinic, LLC

NPI #1740895291 in Pell City, Alabama

Provider Information

NPI Number
1740895291
Entity Type
Organization
Organization Name
Main Street Clinic, LLC
Primary Specialty
Pediatrics
Enumeration Date
Sep 11, 2020
Last Updated
Sep 11, 2020

Practice Location

Address
1508 COGSWELL AVE
State
Alabama
ZIP Code
35125-1243
Phone
(256) 418-4300

Authorized Official

Name
MUHAMMAD E ATA, MD
Title
OWNER
Phone
(256) 418-4300

Specialties & Taxonomy Codes

Specialty
Pediatrics

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