Fort Mitchell Clinic PC
Fort Mitchell Clinic PC is an Anesthesiology Physician in Ft Mitchell, Alabama. Licensed in Alabama. Registered with an NPI since 2011.
- Licensed in
- AL
- In the registry since
- 2011
- Specialties on file
- 6
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2 Gilmore RdFt Mitchell, AL 36856-4411
Phone: (334) 664-0463
Fax: (334) 664-0466
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 013962 (AL) |
|---|---|
| Anesthesiology Physician | Taxonomy 207L00000X (AL) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence MD7157 (AL) |
| Pediatrics Physician | Taxonomy 208000000X · Licence MD26862 (AL) |
| Clinic/Center | Taxonomy 261Q00000X · Licence MD26862 (AL) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 1-129486 (AL) |
Record details
| NPI number | 1568748242 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rajiv Srivastava — Administrator · (334) 664-0463 |
| Other names | Preferred Medical Group; Preferred Medical Group |
| NPI enumerated | October 26, 2011 |
| Last updated in NPPES | June 9, 2017 |
| Mailing address | 3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 |