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EASTERN SHORE FAMILY PRACTICE PC NPI 1033322854


NPI Information

NPI: 1033322854
Provider Name: EASTERN SHORE FAMILY PRACTICE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0305219

Address:
27961 US HIGHWAY 98
SUITE 14
DAPHNE, AL
ZIP 36526
Phone: (251) 626-1175
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EASTERN SHORE FAMILY PRACTICE PC is a family medicine in Daphne, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EASTERN SHORE FAMILY PRACTICE PC NPI is 1033322854. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27961 US HIGHWAY 98
SUITE 14
DAPHNE, AL
ZIP 36526-702
Phone: (251) 626-1175

The provider's authorized official is James Grant Brummett .
The authorized official title is President and has the following contact phone number (251) 626-1175.

The CLIA number assigned to this NPI record is 01D0305219 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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