Individual provider · NPI-1

Michael Betsayad

Family Medicine · Prattville, AL

NPI number1821745977
StatusActive
Last updated in NPPESMar 8, 2022

Details

NPI
1821745977
Entity type
Individual (NPI-1)
Name
Michael Betsayad
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 8, 2022
Certification date
Mar 8, 2022
Last updated
Mar 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineAL17565ALYes

Practice location

1595 E Main St
Prattville, AL 36066-5509

Phone 334-358-6540

Mailing address

1595 E Main St
Prattville, AL 36066-5509

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