PICKENS COUNTY PRIMARY CARE PC NPI 1629491451

NPI Information

PICKENS COUNTY PRIMARY CARE PC is a primary care clinic center in Reform, AL. PICKENS COUNTY PRIMARY CARE PC NPI is 1629491451. The provider is registered as an organization entity type.

The provider's business location address is:

108 4TH AVE SW STE A
REFORM, AL
ZIP 35481-018
Phone: (205) 375-6251
Fax: (205) 375-9064

The provider's authorized official is Julia L Boothe .
The authorized official title is Owner and has the following contact phone number (205) 792-6701.

The enumeration date for this NPI number is 1/30/2014 and was last updated on 7/16/2019.

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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