FMC MEDICAL CLINIC MILLPORT NPI 1063871184

NPI Information

FMC MEDICAL CLINIC MILLPORT is a family medicine in Millport, 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. FMC MEDICAL CLINIC MILLPORT NPI is 1063871184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13530 HIGHWAY 96
MILLPORT, AL
ZIP 35576-522
Phone: (205) 662-3207
Fax: (205) 333-4660

The provider's authorized official is Ryan Campbell .
The authorized official title is Director Of Physician Service and has the following contact phone number (205) 759-6165.

The CLIA number assigned to this NPI record is 01D2109911 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 6/8/2016.

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:

Other Identifiers

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