Organization
VALLEY HEAD CLINIC LLC
Active
Organization
VALLEY HEAD CLINIC LLC
Active
Other names
PISGAH MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD EJAZ ATA M.D. (OWNER)
(256) 451-1250
Entity
Organization
Contact information
Practice address
6110 COUNTY ROAD 88, PISGAH, AL 35765
(256) 451-1250
(256) 451-1270
Mailing address
PO BOX 246, PISGAH, AL 35765-0246
(256) 451-1250
(256) 451-1270
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
10/31/2012
Last updated
10/17/2024
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