Organization
MAMM ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COSGROVE (PRINCIPAL)
(256) 677-9809
Entity
Organization
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 327-7463
Mailing address
2202 BIG COVE RD SE, HUNTSVILLE, AL 35801-1348
(256) 677-9809
(888) 981-9347
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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