# GATEWAY HEALTH CENTER, LLC

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

## Provider details

- **NPI number:** 1699085589
- **Authorized official:** JOHN PEGUES (OWNER)
- **Authorized official phone:** (205) 648-4567

## Contact information

- **Practice address:** 2165 HIGHWAY 78, 103, DORA, AL 35062
- **Practice address phone:** (205) 648-4567
- **Mailing address:** 2165 HIGHWAY 78, 103, DORA, AL 35062
- **Mailing address phone:** (205) 648-4567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 10/14/2010