Medcenter Fayette, LLC

NPI #1235590001 in Fayette, Alabama

Provider Information

NPI Number: 1235590001
Entity Type: Organization
Organization Name: Medcenter Fayette, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TUSCALOOSA MEDCENTER NORTH, PC
Primary Specialty: Family Medicine
Enumeration Date: Mar 8, 2016
Last Updated: Dec 19, 2024

Practice Location

Address: 122 17TH CT NE
City: Fayette
State: Alabama
ZIP Code: 35555-1353
Phone: (205) 330-1707

Authorized Official

Name: BETH KOHN
Title: CREDENTIALING SPECIALIST
Phone: (912) 756-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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