Provider Demographics
NPI:1336662287
Name:CENTER POINT MEDICAL LLC
Entity Type:Organization
Organization Name:CENTER POINT MEDICAL LLC
Other - Org Name:ANDREW RUSSELL CHRISTIE SOLE MBR
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:256-505-6826
Mailing Address - Street 1:587 GODWIN DR
Mailing Address - Street 2:
Mailing Address - City:GROVEOAK
Mailing Address - State:AL
Mailing Address - Zip Code:35975-6010
Mailing Address - Country:US
Mailing Address - Phone:256-505-6826
Mailing Address - Fax:256-571-2862
Practice Address - Street 1:151 WOODHAM DR
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35951-3301
Practice Address - Country:US
Practice Address - Phone:256-505-6826
Practice Address - Fax:256-571-2862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-24
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO1410208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALDO1410OtherAL MEDICAL LICENSE