01D0692286 CLIA NUMBER - JUDY COOKE TRAVIS MD PC

Laboratory Demographics

CLIA Number: 01D0692286

Facility Name: JUDY COOKE TRAVIS MD PC

Facility Address:
123 E CAPITOL STREET
DEMOPOLIS, AL
ZIP 36732
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Facility Phone Number: (334) 289-9408

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1902095565

Taxonomy: 207Q00000X - Family Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	01D0692286
LAB Type	PHYSICIAN OFFICE
Facility Name	JUDY COOKE TRAVIS MD PC
Street	123 E CAPITOL STREET
City	DEMOPOLIS
State	AL
ZIP	36732
Phone	(334) 289-9408

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This page was last updated on: 5/11/2023