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Organization

PARTNERS MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AFOLAKE OGUNTUYO (OFFICE MANAGER)
(256) 547-3822
Entity
Organization

Contact information

Practice address
431 SOUTH 5TH STREET, GADSDEN, AL 35901
(256) 547-3822
(256) 547-3825
Mailing address
500 S 5TH ST, SUITE 1040, GADSDEN, AL 35901-5104
(256) 547-3822
(256) 547-3825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26835
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510I080262
PTAN
AL
Enumeration date
01/24/2010
Last updated
01/17/2014
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