Organization · Type 2 NPI
Premier Legacy Health, LLC
Adult Medicine Physician · Ardmore, AL
NPI number
1396685301
Active
Practice location
29976 1st Ave E
Ardmore, AL 35739-8106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1396685301
Premier Legacy Health, LLC's National Provider Identifier is 1396685301, issued on Mar 30, 2026. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Ardmore, AL. The record was last updated on Jul 16, 2026.