Provider Demographics
NPI:1932304292
Name:AFTER HOURS CLINIC INC SUMITON
Entity Type:Organization
Organization Name:AFTER HOURS CLINIC INC SUMITON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-384-4585
Mailing Address - Street 1:1800 BIRMINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-5461
Mailing Address - Country:US
Mailing Address - Phone:205-384-4585
Mailing Address - Fax:205-384-4428
Practice Address - Street 1:385 BRYAN RD
Practice Address - Street 2:SUITE 140
Practice Address - City:SUMITON
Practice Address - State:AL
Practice Address - Zip Code:35148-3422
Practice Address - Country:US
Practice Address - Phone:205-648-0240
Practice Address - Fax:205-384-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty