Organization
PRIMARY CARE SERVICES-BLOUNT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAKIR N KHAN MD (OWNER)
(205) 625-3561
Entity
Organization
Contact information
Practice address
101 LEMLEY DR STE A, ONEONTA, AL 35121-2100
(205) 625-3561
(205) 274-9638
Mailing address
PO BOX 389, CLAY, AL 35048-0389
(205) 625-3561
(205) 274-9638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
22909
AL
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
11/05/2018
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