Organization
INMED CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI F LAWRENSON (COO)
(334) 386-0343
Entity
Organization
Contact information
Practice address
5303 VAUGHN RD, MONTGOMERY, AL 36116-1120
(334) 386-0343
(334) 386-0382
Mailing address
PO BOX 5013, MONTGOMERY, AL 36103-5013
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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