Organization
GATEWAY HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PEGUES (OWNER)
(205) 648-4567
Entity
Organization
Contact information
Practice address
2165 HIGHWAY 78, 103, DORA, AL 35062
(205) 648-4567
Mailing address
2165 HIGHWAY 78, 103, DORA, AL 35062
(205) 648-4567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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