Decatur Family Medicine PC
Family Medicine in Decatur, AL. Organization (NPI-2).
NPI number1982805149
StatusActive
Last updated in NPPESNov 20, 2009
Details
- NPI
- 1982805149
- Entity type
- Organization (NPI-2)
- Legal business name
- Decatur Family Medicine PC
- Organization subpart
- No
- Enumeration date
- May 29, 2007
- Last updated
- Nov 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1215 7th Street SeSuite 110
Decatur, AL 35601-3381
Phone 256-306-1655 · Fax 256-306-1601
Mailing address
1215 7th Street SeSuite 110
Decatur, AL 35601-3381
Phone 256-306-1655 · Fax 256-306-1601
Authorized official
Michelle Drake Radcliff
Office Manager
2565848211
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