Healthcare Provider Details

I. General information

NPI: 1255095261
Provider Name (Legal Business Name): MAT MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3871 OLD US HWY 278 EAST
HOKES BLUFF AL
35903
US

IV. Provider business mailing address

3871 OLD US HWY 278 EAST
HOKES BLUFF AL
35903
US

V. Phone/Fax

Practice location:
  • Phone: 256-492-0544
  • Fax: 256-492-0558
Mailing address:
  • Phone: 256-492-0544
  • Fax: 256-492-0558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: WENDY SPRAYBERRY
Title or Position: DIRECTOR
Credential:
Phone: 256-997-6502