Organization
PRIME CARE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAZLE MATIN MD (DIRECTOR)
(334) 663-3587
Entity
Organization
Contact information
Practice address
203 W LEE ST, TUSKEGEE, AL 36083-1719
(334) 663-3587
(334) 821-6287
Mailing address
2220 MT VERNON LN, AUBURN, AL 36830-4257
(334) 821-6287
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2013
Last updated
06/09/2013
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