Organization
LEGACY MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE D. SCRUGGS MD (PHYSICIAN)
(256) 533-8408
Entity
Organization
Contact information
Practice address
805 MADISON ST SE, SUITE 2B, HUNTSVILLE, AL 35801-4419
(256) 533-8408
(256) 533-8409
Mailing address
805 MADISON ST SE, SUITE 2B, HUNTSVILLE, AL 35801-4419
(256) 533-8408
(256) 533-8409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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