EAST ALABAMA FAMILY PRACTICE P.C. NPI 1386719193

NPI Information

EAST ALABAMA FAMILY PRACTICE, P.C. is a family medicine in Opelika, 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. EAST ALABAMA FAMILY PRACTICE, P.C. NPI is 1386719193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2214 GATEWAY DR
SUITE C
OPELIKA, AL
ZIP 36801-500
Phone: (334) 741-0075
Fax: (334) 741-4075

The provider's authorized official is Keith Lyle Fuller .
The authorized official title is President and has the following contact phone number (334) 741-0075.

The CLIA number assigned to this NPI record is 01D0915549 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 12/22/2022.

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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