East Alabama Family Practice, P.c.

NPI #1386719193 in Opelika, Alabama

Provider Information

NPI Number: 1386719193
Entity Type: Organization
Organization Name: East Alabama Family Practice, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Nov 21, 2006
Last Updated: Dec 22, 2022

Practice Location

Address: 2214 GATEWAY DR
Address 2: SUITE C
City: Opelika
State: Alabama
ZIP Code: 36801-1500
Phone: (334) 741-0075

Authorized Official

Name: DR. KEITH LYLE FULLER, D.O.
Title: PRESIDENT
Phone: (334) 741-0075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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