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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