Organization
CARE COMPLETE MEDICAL CLINIC(CCMC)LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK E IFEDIBA M.D. (MEDICAL DIRECTOR)
(205) 929-0565
Entity
Organization
Contact information
Practice address
1300 BESSEMER RD, SUITE A, BIRMINGHAM, AL 35208-4326
(205) 929-0565
(205) 929-0564
Mailing address
1300 BESSEMER RD, SUITE A, BIRMINGHAM, AL 35208-4326
(205) 929-0565
(205) 929-0564
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
19014
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119889
—
AL
Enumeration date
05/29/2013
Last updated
08/09/2013
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