Organization
GULF FAMILY MEDICAL LLC
Active
Other names
Summerdale Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MADDOX CRNP (BUSINESS OWNER)
(251) 989-9400
Entity
Organization
Contact information
Practice address
511 STATE HIGHWAY 59 N, SUMMERDALE, AL 36580-3686
(256) 550-1415
Mailing address
PO BOX 703, SUMMERDALE, AL 36580-0703
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
10/17/2022
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