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SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C. NPI 1538487020


NPI Information

NPI: 1538487020
Provider Name: SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
15239 AL HWY 68 W
CROSSVILLE, AL
ZIP 35962
Phone: (256) 528-7173
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SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C. is a family medicine in Crossville, 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. SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C. NPI is 1538487020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15239 AL HWY 68 W
CROSSVILLE, AL
ZIP 35962-158
Phone: (256) 528-7173
Fax: (256) 528-2425

The provider's authorized official is Jennie Miller .
The authorized official title is Office Manager and has the following contact phone number (256) 505-4532.

The enumeration date for this NPI number is 5/10/2010 and was last updated on 6/10/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1541003854MEDICAIDALABAMA
2013854MEDICARE OSCAR/CERTIFICATIONALABAMA
3H396MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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