Organization · NPI-2

Abc Family Medicine INC

Family Medicine · Hanceville, AL

NPI number1508338278
StatusActive
Last updated in NPPESNov 16, 2020

Details

NPI
1508338278
Entity type
Organization (NPI-2)
Legal business name
Abc Family Medicine INC
Organization subpart
No
Enumeration date
Dec 19, 2018
Certification date
Nov 16, 2020
Last updated
Nov 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

24 County Road 262
Hanceville, AL 35077-3415

Phone 256-781-0718

Mailing address

24 County Road 262
Hanceville, AL 35077-3415

Phone 256-781-0718

Authorized official

Julia Renae Jones
Owner
2567810718

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