MEDICARE: NORTH ALABAMA MEDICAL CLINIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	23512	AL

General Provider Information

NPI Number	:	1902049596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH ALABAMA MEDICAL CLINIC PC

Provider Business Mailing Address
First Line	:	300 SUN TEMPLE DR
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-5919
Country	:	US
Telephone Number	:	256-325-9111
Fax Number	:	256-325-9113

Provider Business Practice Location Address
First Line	:	300 SUN TEMPLE DR
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-5919
Country	:	US
Telephone Number	:	256-325-9111
Fax Number	:	256-325-9113

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MUSARRAT AFROZE YOUSUF
Credential	:	M.D.
Telephone Number	:	256-325-9111

Provider Enumeration Date	:	04/12/2009
Last Update Date	:	05/23/2024

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