NPI 1295286300

Mulberry Medical, LLC

Organisation Point of Service Montgomery, AL

Practice location

Address: 2100 Chestnut St, Montgomery, AL 36106-1113
Phone: (334) 676-4090
Fax: (334) 676-4091

Authorised official

Name: Kynard L Adams
Title: Owner
Phone: (334) 264-3434

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 10658 (AL)

Other Point of Service providers in Alabama →

Registry record

NPI: 1295286300
Entity type: Organization
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.