Individual
CLINTON ERLE MCENTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4310 WATERMELON RD, NORTHPORT, AL 35473-5166
(205) 330-5266
(205) 330-9915
Mailing address
4310 WATERMELON RD, NORTHPORT, AL 35473-5166
(205) 330-5266
(205) 330-9915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20976
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336474964/115060
—
AL
01
—
511-00517
BCBS OF AL.
AL
01
—
P00802676
MEDICARE RAILROAD
AL
Enumeration date
10/20/2006
Last updated
01/25/2024
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