Organization
SLCM LLC
Active
Other names
NorthRiver Primary Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JONES (AUTHORIZED OFFICIAL)
(205) 710-6129
Entity
Organization
Contact information
Practice address
4310 WATERMELON RD, NORTHPORT, AL 35473-5166
(205) 330-5266
(205) 330-9915
Mailing address
4310 WATERMELON RD, NORTHPORT, AL 35473-5166
(205) 330-5266
(205) 330-9915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336474964
—
AL
01
—
DP9610
MEDICARE RAILROAD
AL
Enumeration date
10/15/2009
Last updated
03/04/2024
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