CREEKSIDE FAMILY PRACTICE NPI 1801097597

NPI Information

CREEKSIDE FAMILY PRACTICE is a family medicine in Huntsville, 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. CREEKSIDE FAMILY PRACTICE NPI is 1801097597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

810 FRANKLIN ST SE
HUNTSVILLE, AL
ZIP 35801-310
Phone: (256) 551-6503
Fax: (256) 533-8935

The provider's authorized official is Claude L Kinzer .
The authorized official title is President and has the following contact phone number (256) 551-6503.

The CLIA number assigned to this NPI record is 01D0302960 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 7/12/2007.

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

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

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