Organization
MENDIOLA PC
Active
Organization
MENDIOLA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELO C MENDIOLA M.D. (OWNER)
(256) 997-2820
Entity
Organization
Contact information
Practice address
1003 FAIRWAY RD NW, FORT PAYNE, AL 35967-8226
(256) 996-3239
Mailing address
2202 JORDAN RD SW, SUITE 101, FORT PAYNE, AL 35968
(256) 997-2820
(256) 997-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17265
AL
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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