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Organization
MED-PLUS MUSCLE SHOALS LLC
Active
Organization
MED-PLUS MUSCLE SHOALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J TEAGUE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
108 AVALON AVE, MUSCLE SHOALS, AL 35661-2800
(256) 389-9300
(256) 389-9367
Mailing address
108 AVALON AVE, MUSCLE SHOALS, AL 35661-2800
(256) 389-9300
(256) 389-9367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
12/21/2005
Last updated
01/21/2019
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