Provider Demographics
NPI:1194232132
Name:MEDICAL ASSET GROUP, LLC
Entity type:Organization
Organization Name:MEDICAL ASSET GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:UFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-907-9000
Mailing Address - Street 1:3442 US HIGHWAY 431
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-0203
Mailing Address - Country:US
Mailing Address - Phone:256-907-9000
Mailing Address - Fax:256-907-9003
Practice Address - Street 1:3442 US HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-0203
Practice Address - Country:US
Practice Address - Phone:256-907-9000
Practice Address - Fax:256-907-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-29
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty