Provider Demographics
NPI:1598953457
Name:ATMORE INDUSTRIAL MEDICINE, LLC.
Entity Type:Organization
Organization Name:ATMORE INDUSTRIAL MEDICINE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-294-0278
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36504-0457
Mailing Address - Country:US
Mailing Address - Phone:251-294-0278
Mailing Address - Fax:
Practice Address - Street 1:611 E LAUREL ST
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-3014
Practice Address - Country:US
Practice Address - Phone:251-368-8001
Practice Address - Fax:251-368-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty