# INTEGRATED MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093237125
- **Authorized official:** KARL PETER M UY MD (DIRECTOR)
- **Authorized official phone:** (256) 438-5008

## Contact information

- **Practice address:** 510 S 4TH ST, GADSDEN, AL 35901-5217
- **Practice address phone:** (256) 438-5008
- **Practice address fax:** (256) 467-4009
- **Mailing address:** 510 S 4TH ST, GADSDEN, AL 35901-5217
- **Mailing address phone:** (256) 438-5008
- **Mailing address fax:** (256) 467-4009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32263 | AL | Yes |
| 207RC0000X | Cardiovascular Disease Physician | MD31385 | AL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MD31385 | AL | — |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 03/07/2022