NPI | 1447246053 |
---|---|
Doing Business As | MAIN STREET MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | MARY SUE SUGGS Owner 205-814-1598 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-09-20 |
Last Update Date | 2010-01-28 |