Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coosa Valley Sports Medicine and Primary Care LLC

Organization Internal Medicine Physician · NPI 1871924357

Coosa Valley Sports Medicine and Primary Care LLC is an Internal Medicine Physician in Sylacauga, Alabama. Licensed in Alabama. Registered with an NPI since 2013.

Licensed in
AL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 W Spring St Ste 305
Sylacauga, AL 35150-2973
Phone: (256) 245-3201
Fax: (256) 245-4112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD.29754 (AL)

Record details

NPI number1871924357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kennieth McCollough — Owner · (256) 245-3201
NPI enumeratedDecember 9, 2013
Last updated in NPPESDecember 9, 2013
Mailing address209 W Spring St, Suite 305, Sylacauga, AL 35150-2973

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