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Organization
HUNTSVILLE PRIMARY AND INTEGRATIVE CARE LLC
Active
Organization
HUNTSVILLE PRIMARY AND INTEGRATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY MILLAR (PRESIDENT)
(256) 539-4000
Entity
Organization
Contact information
Practice address
2021 CLINTON AVE W STE A, HUNTSVILLE, AL 35805-7111
(256) 539-4000
(256) 513-4886
Mailing address
PO BOX 6756, HUNTSVILLE, AL 35813-0756
(256) 539-4000
(256) 513-4886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
01/07/2022
Last updated
02/24/2022
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