| Clinic652 LLC | |
|
2600 E Meighan Blvd Gadsden AL 35903-1924 | |
| (256) 418-4005 | |
| (256) 399-0102 |
| Full Name | Clinic652 LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 E Meighan Blvd, Gadsden, Alabama |
| Authorized Official Name and Position | Warren Alexander O'meara-dates (MEMBER/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2564184005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic652 LLC 417 Taylor St Gadsden AL 35903-2557 | Clinic652 LLC 2600 E Meighan Blvd Gadsden AL 35903-1924 Ph: (256) 418-4005 |
| NPI Number | 1508518002 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508518002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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