| Ardmore Clinic | |
|
30320 Al Highway 53 Ste B&c Ardmore AL 35739-8766 | |
| (256) 423-4800 | |
| (256) 423-8448 |
| Full Name | Ardmore Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 30320 Al Highway 53 Ste B&c, Ardmore, Alabama |
| Authorized Official Name and Position | Krista Chase (CREDENTIALING AGENT) |
| Authorized Official Contact | 2567677494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ardmore Clinic Po Box 298 Florence AL 35631-0298 Ph: (256) 767-7494 | Ardmore Clinic 30320 Al Highway 53 Ste B&c Ardmore AL 35739-8766 Ph: (256) 423-4800 |
| NPI Number | 1922044494 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922044494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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