Organization
INTREPID INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA COPELAND (BILLING MGR)
(256) 532-1888
Entity
Organization
Contact information
Practice address
40 MEDICAL CIR, MOULTON, AL 35650-1256
(256) 974-0606
(256) 974-4530
Mailing address
40 MEDICAL CIR, MOULTON, AL 35650-1256
(256) 974-0606
(256) 974-4530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1056
AL
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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