# SCOTTSBORO MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1477847713
- **Authorized official:** MUHAMMAD E ATA M.D. (OWNER)
- **Authorized official phone:** (256) 451-1250

## Contact information

- **Practice address:** 506 HARLEY ST, SCOTTSBORO, AL 35768-4219
- **Practice address phone:** (256) 574-6157
- **Practice address fax:** (256) 259-0560
- **Mailing address:** PO BOX 56, SCOTTSBORO, AL 35768-0056
- **Mailing address phone:** (256) 574-6157
- **Mailing address fax:** (256) 259-0560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | AL | Yes |

## Other

- **Enumeration date:** 06/03/2011
- **Last updated:** 06/03/2011