# PELL CITY INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pell City Internal and Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649539610
- **Authorized official:** TERRI WOODS (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (205) 884-9000

## Contact information

- **Practice address:** 41 EMINENCE WAY STE A, PELL CITY, AL 35128-2338
- **Practice address phone:** (205) 884-9000
- **Practice address fax:** (205) 884-8111
- **Mailing address:** 41 EMINENCE WAY STE A, PELL CITY, AL 35128-2338
- **Mailing address phone:** (205) 884-9000
- **Mailing address fax:** (205) 884-8111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27238 | AL | Yes |
| 207R00000X | Internal Medicine Physician | 22922 | AL | — |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 02/15/2022