# MONTEVALLO FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1720009962
- **Authorized official:** MR. JONATHAN C. MERKLE M.D. (PHYSICIAN)
- **Authorized official phone:** (205) 665-7991

## Contact information

- **Practice address:** 33 SALEM RD, SUITE 1, MONTEVALLO, AL 35115-3586
- **Practice address phone:** (205) 665-7991
- **Practice address fax:** (205) 665-2913
- **Mailing address:** 33 SALEM RD, SUITE 1, MONTEVALLO, AL 35115-3586
- **Mailing address phone:** (205) 665-7991
- **Mailing address fax:** (205) 665-2913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21192 | AL | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 11/07/2011