| Pisgah Medical Clinic | |
|
6110 County Road 88 Pisgah Medical Clinic Pisgah AL 35765 | |
| (256) 451-1250 | |
| (256) 451-1270 |
| Full Name | Pisgah Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 6110 County Road 88, Pisgah, Alabama |
| Authorized Official Name and Position | Muhammad Ejaz Ata (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2564511250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pisgah Medical Clinic Po Box 246 6110 County Road 88 Pisgah AL 35765 Ph: (256) 451-1250 | Pisgah Medical Clinic 6110 County Road 88 Pisgah Medical Clinic Pisgah AL 35765 Ph: (256) 451-1250 |
| NPI Number | 1851308910 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 10/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851308910 | NPI | - | NPPES |
| 011432 | Other | AL | BLUE CROSS |
| 541003864 | Medicaid | AL | |
| CM0511 | Other | RAILROAD MEDICACRE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00000 (Maryland) | Primary |
| 208000000X | Pediatrics | 00000 (Michigan) | Secondary |
Pisgah Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6110 County Road 88, Pisgah Medical Clinic, Pisgah, AL 35765 Phone: 256-451-1250 Fax: 256-451-1270 | |
Pisgah Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6110 County Road 88, Pisgah, AL 35765 Phone: 256-451-1250 Fax: 256-451-1270 |