Family Medicine of Russellville INC

NPI #1366625923 in Russellville, Alabama

Provider Information

NPI Number
1366625923
Entity Type
Organization
Organization Name
Family Medicine of Russellville INC
Primary Specialty
Family Medicine
Enumeration Date
Dec 6, 2007
Last Updated
Mar 11, 2008

Practice Location

Address
605 GANDY ST NE
State
Alabama
ZIP Code
35653-1911
Phone
(256) 332-8969

Authorized Official

Name
RYAN ALBERT GREGORIO, MD
Title
MD/PRESIDENT
Phone
(256) 332-8969

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Provider Name
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