Bridgeport Family Practice Obgyn Clinic

NPI #1255487039 in Stevenson, Alabama

Provider Information

NPI Number: 1255487039
Entity Type: Organization
Organization Name: Bridgeport Family Practice Obgyn Clinic
Primary Specialty: Family Medicine
Enumeration Date: Jan 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 230 KENTUCKY AVE
City: Stevenson
State: Alabama
ZIP Code: 35772-3102
Phone: (256) 437-2431

Authorized Official

Name: T. MURALI MOHAN, M.D.
Title: PARTNER
Phone: (256) 437-2431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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