Greater Huntsville Family Practice

NPI 1073636650 - Family Medicine - 207Q00000X

NPI Details
NPI 1073636650
Enumeration Date 04/09/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RANDLE T RANDLE
Position OWNER
Phone (256) 882-5060
Fax (256) 882-9990
Practice Location
2089 CECIL ASHBURN DRIVE
SUITE 101
HUNTSVILLE AL, 35802, US
Phone (256) 882-5060
Fax (256) 882-9990
Business Location
2089 CECIL ASHBURN DRIVE
SUITE 101
HUNTSVILLE AL, 35802, US
Phone (256) 882-5060
Fax (256) 882-9990
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1073636650 NPI Number
 

According to our database, Greater Huntsville Family Practice NPI is 1073636650, taxonomy code is 207Q00000X Greater Huntsville Family Practice physically located at 2089 Cecil Ashburn Drive, Huntsville AL, 35802. NPI Number 1033115704 has the healthcare provider type.

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1073636650 NPI number is provided on an as is basis without warranty of any kind. 1073636650 is maintained by the National Plan & Provider Enumeration System. The contents of Greater Huntsville Family Practice are for informational purposes only.