Generations Primary Care

NPI 1083985519 - Family Medicine - 207Q00000X

NPI Details
NPI 1083985519
Enumeration Date 01/13/2012
Last Updated 04/21/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KEISHA GIBSON KEISHA
Position PHYSICIAN/CEO
Phone (205) 343-6979
Fax (205) 345-3343
Practice Location
6531 HIGHWAY 69 S
TUSCALOOSA AL, 35405-4087, US
Phone (205) 343-6979
Fax (205) 345-3343
Business Location
6531 HIGHWAY 69 S
SUITE A
TUSCALOOSA AL, 35405-4087, US
Phone (205) 343-6979
Fax (205) 345-3343
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1083985519 NPI Number
 

According to our database, Generations Primary Care NPI is 1083985519, taxonomy code is 207Q00000X Generations Primary Care physically located at 6531 Highway 69 S, Tuscaloosa AL, 35405-4087. NPI Number 1033115704 has the healthcare provider type.

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1083985519 NPI number is provided on an as is basis without warranty of any kind. 1083985519 is maintained by the National Plan & Provider Enumeration System. The contents of Generations Primary Care are for informational purposes only.