# SHOALS MEDICAL CLINIC, PC

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

## Provider details

- **NPI number:** 1407056252
- **Authorized official:** DR. DAVID BRUCE LAUGHLIN M.D. (PRESIDENT)
- **Authorized official phone:** (256) 381-5234

## Contact information

- **Practice address:** 1404 E AVALON AVE, SUITE B-00, TUSCUMBIA, AL 35674-1773
- **Practice address phone:** (256) 381-5234
- **Practice address fax:** (256) 381-5232
- **Mailing address:** 1404 E AVALON AVE, SUITE B-00, TUSCUMBIA, AL 35674-1773
- **Mailing address phone:** (256) 381-5234
- **Mailing address fax:** (256) 381-5232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18096 | AL | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007