East Alabama Family Practice, P.c.

NPI 1386719193 - Family Medicine - 207Q00000X

NPI Details
NPI 1386719193
Enumeration Date 11/21/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEITH LYLE KEITH
Position PRESIDENT
Phone (334) 741-0075
Fax (334) 741-4075
Practice Location
2214 GATEWAY DR
SUITE C
OPELIKA AL, 36801-1500, US
Phone (334) 741-0075
Fax (334) 741-4075
Business Location
2214 GATEWAY DR
SUITE C
OPELIKA AL, 36801-1500, US
Phone (334) 741-0075
Fax (334) 741-4075
Toxanomy
Taxonomy Code 207Q00000X
License State Alabama
License Number DO-350
Remove 1386719193 NPI Number
 

According to our database, East Alabama Family Practice, P.c. NPI is 1386719193, taxonomy code is 207Q00000X and license number is DO-350, license state is located at Alabama. East Alabama Family Practice, P.c. physically located at 2214 Gateway Dr, Opelika AL, 36801-1500. NPI Number 1033115704 has the healthcare provider type.

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1386719193 NPI number is provided on an as is basis without warranty of any kind. 1386719193 is maintained by the National Plan & Provider Enumeration System. The contents of East Alabama Family Practice, P.c. are for informational purposes only.