Organization
MAIN STREET CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD E ATA MD (OWNER)
(256) 418-4300
Entity
Organization
Contact information
Practice address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(256) 418-4300
(888) 827-8932
Mailing address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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