Premier Internal Medicine, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER INTERNAL MEDICINE, P.C.

Practice address

310 S Greeno Rd
Fairhope, AL 36532-1905

Phone

(251) 929-0500

Fax

(251) 929-0505

NPI assigned

Nov 17, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph N M Ndolo, M.D.

Title

President/Owner

Phone

(251) 929-0500

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1073595773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GREENO RD S",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-0500",
            "fax_number": "251-929-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321905",
            "telephone_number": "251-929-0500",
            "fax_number": "251-929-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "NDOLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "251-929-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolyn Dale Presley, LCSW
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• Prohealth-Gulf Coast, LLC

• Specialist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.