Organization
SHOALS MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRUCE LAUGHLIN M.D. (PRESIDENT)
(256) 381-5234
Entity
Organization
Contact information
Practice address
1404 E AVALON AVE, SUITE B-00, TUSCUMBIA, AL 35674-1773
(256) 381-5234
(256) 381-5232
Mailing address
1404 E AVALON AVE, SUITE B-00, TUSCUMBIA, AL 35674-1773
(256) 381-5234
(256) 381-5232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18096
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24815
BCBS
AL
Enumeration date
07/19/2007
Last updated
07/19/2007
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