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1548581705
INTREPID INTERNAL MEDICINE PC
MOULTON, AL
NPI
1548581705
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Entity Type
Organization
Authorized Contact
MONICA COPELAND
Billing Mgr
256-532-1888
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AL do1056)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
INTREPID INTERNAL MEDICINE PC
40 MEDICAL CIR
MOULTON, AL 35650-1256
Phone number: 256-974-0606
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Mailing Address
INTREPID INTERNAL MEDICINE PC
40 MEDICAL CIR
MOULTON, AL 35650-1256
Phone number: 256-974-0606
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