Organization
PRO-MED, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA SHEKAR M.D. (PRESIDENT)
(334) 382-0530
Entity
Organization
Contact information
Practice address
302 PAUL STABLER DRIVE, GREENVILLE, AL 36037-3871
(334) 382-0530
(334) 382-0498
Mailing address
302 PAUL STABLER DR, GREENVILLE, AL 36037-3128
(334) 382-0530
(334) 382-0498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19482
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030326
—
AL
Enumeration date
03/27/2006
Last updated
10/04/2010
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