Medical Resource Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL RESOURCE GROUP LLC

Practice address

3224 Rainbow Dr
Suite 5
Rainbow City, AL 35906-6202

Phone

(256) 312-8712

Fax

(256) 312-8714

NPI assigned

Oct 15, 2015

Last updated

Dec 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Kilgo

Title

Director

Phone

(256) 490-1224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1073984050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 RAINBOW DR",
            "address_2": "SUITE 5",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066202",
            "telephone_number": "256-312-8712",
            "fax_number": "256-312-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 RAINBOW DR",
            "address_2": "SUITE 5",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066202",
            "telephone_number": "256-312-8712",
            "fax_number": "256-312-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL RESOURCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "KILGO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-490-1224"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Rainbow City, AL
• Providers in Rainbow City, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.