ETOWAH FAMILY MEDICAL PC NPI 1679894190

NPI Information

ETOWAH FAMILY MEDICAL PC is an adult medicine family medicine in Gadsden, AL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ETOWAH FAMILY MEDICAL PC NPI is 1679894190. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

303 BAY ST
STE 301
GADSDEN, AL
ZIP 35901-265
Phone: (256) 546-4868
Fax: (256) 546-4967

The provider's authorized official is Courtney Lowe .
The authorized official title is Owner and has the following contact phone number 25655464868.

The CLIA number assigned to this NPI record is 01D2016892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2010 and was last updated on 6/18/2010.

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:

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