# MMC, M.D., LLC

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

## Provider details

- **NPI number:** 1316559917
- **Authorized official:** MICHELLE HAWTHORNE MS (BILLING MANAGER)
- **Authorized official phone:** (205) 997-2417

## Contact information

- **Practice address:** 3509 WATERMELON RD, NORTHPORT, AL 35473-5174
- **Practice address phone:** (205) 366-0221
- **Practice address fax:** (205) 366-0342
- **Mailing address:** 3509 WATERMELON RD, NORTHPORT, AL 35473-5174
- **Mailing address phone:** (205) 366-0221
- **Mailing address fax:** (205) 366-0342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/17/2020
- **Last updated:** 02/09/2026