Imc-Eastern Shore Adult Medicine, LLC

NPI #1912284852 in Fairhope, Alabama

Provider Information

NPI Number: 1912284852
Entity Type: Organization
Organization Name: Imc-Eastern Shore Adult Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 7, 2011
Last Updated: Nov 1, 2019

Practice Location

Address: 300 GREENO RD S
Address 2: SUITE B
City: Fairhope
State: Alabama
ZIP Code: 36532-1905
Phone: (251) 929-3424

Authorized Official

Name: ANTHONY PALAZZO
Title: VICE PRESIDENT OF FINANCE
Phone: (251) 435-1361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Internal Medicine	207R00000X	Primary

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