Provider Demographics
NPI:1407099286
Name:PRIMARY MEDICINE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:PRIMARY MEDICINE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:334-528-1310
Mailing Address - Street 1:890 N DEAN RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-9440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:890 N DEAN RD
Practice Address - Street 2:SUITE 500
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-9440
Practice Address - Country:US
Practice Address - Phone:334-821-2708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAST ALABAMA MEDICAL DEVELOPMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-09
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty