Organization
PRATTVILLE MEDICAL CLINIC, PC
Active
Organization
PRATTVILLE MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLTON H TRINIDAD MD (OWNER)
(334) 358-8106
Entity
Organization
Contact information
Practice address
1739 E MAIN ST, PRATTVILLE, AL 36066-5525
(334) 358-8106
(334) 358-8107
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
10/12/2007
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