Organization
REAGAN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC A HULTQUIST DO (CEO)
(256) 258-8319
Entity
Organization
Contact information
Practice address
12205 COUNTY LINE RD STE C, MADISON, AL 35758-7720
(563) 424-0459
Mailing address
12205 COUNTY LINE RD STE C, MADISON, AL 35758-7720
(563) 424-0459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/29/2024
Last updated
02/23/2024
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