Organization
MIDWAY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD EJAZ ATA MD (OWNER)
(256) 599-7566
Entity
Organization
Contact information
Practice address
27550 STATE HIGHWAY 75 STE 105, ONEONTA, AL 35121-3204
(256) 451-1250
Mailing address
PO BOX 568, ONEONTA, AL 35121-0007
(256) 451-1250
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
AL
Other
Enumeration date
02/25/2013
Last updated
07/18/2019
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