West Limestone Family Care LLC
Family Medicine in Elkmont, AL. Organization (NPI-2).
NPI number1760614796
StatusActive
Last updated in NPPESAug 28, 2009
Details
- NPI
- 1760614796
- Entity type
- Organization (NPI-2)
- Legal business name
- West Limestone Family Care LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2009
- Last updated
- Aug 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO512 | AL | Yes |
Practice location
25678 West Limestone School RoadElkmont, AL 35620-7938
Phone 256-777-6805 · Fax 256-614-1240
Mailing address
Po Box 1044Athens, AL 35612-1044
Authorized official
Jarrod Taylor
Managing Member
2567776805
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