Organization
AMMA HEALTH CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNUS M ISMAIL M.D (PRESIDENT)
(256) 259-3778
Entity
Organization
Contact information
Practice address
302 MAIN ST S, SECTION, AL 35771-7006
(256) 259-3778
(256) 259-3759
Mailing address
PO BOX 278, SCOTTSBORO, AL 35768-0278
(256) 259-3778
(256) 259-3759
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22123
AL
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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