4md2 in Patient Physician Services of Decatur LLC

NPI #1134273345 in Decatur, Alabama

Provider Information

NPI Number: 1134273345
Entity Type: Organization
Organization Name: 4md2 in Patient Physician Services of Decatur LLC
Primary Specialty: Contractor
Enumeration Date: Jan 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1201 7TH ST SE
City: Decatur
State: Alabama
ZIP Code: 35601-3337
Phone: (256) 341-2909

Authorized Official

Name: MR. GUY DUWANE HOOPER
Title: PRESIDENT
Phone: (205) 999-6209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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