Provider Demographics
NPI:1578003695
Name:DISCOVERY MEDICAL CENTER LLC
Entity Type:Organization
Organization Name:DISCOVERY MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCGOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-682-8890
Mailing Address - Street 1:415E CHURCH ST NW STE 2
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5577
Mailing Address - Country:US
Mailing Address - Phone:256-533-2900
Mailing Address - Fax:256-533-1333
Practice Address - Street 1:415E CHURCH ST NW STE 2
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5577
Practice Address - Country:US
Practice Address - Phone:256-533-2900
Practice Address - Fax:256-533-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty