| Organization Name: | REMNANT MEDICINE LLC |
| NPI Number: | 1164891248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA WILCOX (PHYSICIAN/MANAGER) |
| Mailing Address: | 1805 Station Dr Prattville |
| State: | AL US |
| Postal Code: | 360665667 |
| Phone Number: | 3347300880 |
| Fax Number: | 3347300877 |
| NPI Enumeration Date: | 09/18/2015 |
| NPI Last Update Date: | 09/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 150982 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |