FAIRHOPE FAMILY MEDICINE LLC NPI 1821151093

NPI Information

FAIRHOPE FAMILY MEDICINE, LLC is a family medicine in Fairhope, 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. FAIRHOPE FAMILY MEDICINE, LLC NPI is 1821151093. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21875 STATE HIGHWAY 181
FAIRHOPE, AL
ZIP 36532
Phone: (251) 928-1442

The provider's authorized official is Regan Mary Andrade .
The authorized official title is Owner and has the following contact phone number (251) 928-1442.

The CLIA number assigned to this NPI record is 01D1064117 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/19/2006 and was last updated on 9/12/2012.

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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