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NPI Code Detail

MEDICARE: MICHAEL A MCCORMICK DO PC

MEDICARE: MICHAEL A MCCORMICK DO 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
1208600000XSurgery PhysicianAL DO 909AL

General Provider Information

NPI Number : 1922025576
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL A MCCORMICK DO PC
Provider Business Mailing Address
First Line : 15225 HIGHWAY 43
Second Line : SUITE I
City : RUSSELLVILLE
State : AL
Zip : 35653-1999
Country : US
Telephone Number : 256-331-8898
Fax Number : 256-331-8899
Provider Business Practice Location Address
First Line : 15225 HIGHWAY 43
Second Line : SUITE I
City : RUSSELLVILLE
State : AL
Zip : 35653-1999
Country : US
Telephone Number : 256-331-8898
Fax Number : 256-331-8899
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL A MCCORMICK
Credential : D.O.
Telephone Number : 256-331-8898
Provider Enumeration Date : 07/17/2006
Last Update Date : 06/21/2018

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Directions to “MICHAEL A MCCORMICK DO PC ” Practice Location

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