Organization
SOUTHVIEW MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD EJAZ ATA MD (OWNER)
(256) 451-1250
Entity
Organization
Contact information
Practice address
307 MAIN ST SW, HANCEVILLE, AL 35077-5476
(256) 352-4767
(256) 352-4797
Mailing address
307 MAIN ST SW, HANCEVILLE, AL 35077-5476
(256) 352-4767
(256) 352-4797
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
04/30/2013
Last updated
07/16/2021
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