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FAMILY MEDICINE SPECIALIST LLC NPI 1043618226


NPI Information

NPI: 1043618226
Provider Name: FAMILY MEDICINE SPECIALIST LLC
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 01D2090923

Address:
8367 MORPHY AVE
STE B
FAIRHOPE, AL
ZIP 36532
Phone: (251) 410-6334
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FAMILY MEDICINE SPECIALIST LLC is a legal medicine in Fairhope, AL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. FAMILY MEDICINE SPECIALIST LLC NPI is 1043618226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8367 MORPHY AVE
STE B
FAIRHOPE, AL
ZIP 36532-653
Phone: (251) 410-6334

The provider's authorized official is Michael L Mcbrearty .
The authorized official title is President and has the following contact phone number (251) 410-6334.

The CLIA number assigned to this NPI record is 01D2090923 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2014 and was last updated on 12/19/2014.


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
1173000000XLegal Medicine6713ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C72568MEDICARE UPINALABAMA
2000004068MEDICARE PINALABAMA

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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