Healthcare Provider Details

I. General information

NPI: 1225790520
Provider Name (Legal Business Name): ALABAMA MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 N BUNNER ST
FOLEY AL
36535-2229
US

IV. Provider business mailing address

1715 N BUNNER ST
FOLEY AL
36535-2229
US

V. Phone/Fax

Practice location:
  • Phone: 251-943-2300
  • Fax: 251-943-2416
Mailing address:
  • Phone: 251-943-2300
  • Fax: 251-943-2416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHARINA V MEYER
Title or Position: MANAGING PHYSICIAN
Credential: MD
Phone: 251-943-2300