Organization
SCOTTSBORO QUICK CARE CLINICS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNUS M ISMAIL (MD)
(256) 259-3778
Entity
Organization
Contact information
Practice address
1603 S BROAD ST, SCOTTSBORO, AL 35768-2662
(256) 259-3778
(256) 259-3759
Mailing address
1603 S BROAD ST, SCOTTSBORO, AL 35768-2662
(256) 259-3778
(256) 259-3759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22123
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22123
AL LIC
AL
05
—
41078
—
AL
Enumeration date
08/22/2007
Last updated
03/07/2023
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