Fmc Medical Clinic - Fayette LLC

NPI #1588141063 in Fayette, Alabama

Provider Information

NPI Number
1588141063
Entity Type
Organization
Organization Name
Fmc Medical Clinic - Fayette LLC
Primary Specialty
Family Medicine
Enumeration Date
Jul 26, 2018
Last Updated
Oct 16, 2024

Practice Location

Address
1653 TEMPLE AVE N STE 1
State
Alabama
ZIP Code
35555-1314
Phone
(205) 932-1112

Authorized Official

Name
MR. DANIEL CLAY CONVILLE
Title
CORP DIRECTOR PHYSICIAN SERVICES
Phone
(205) 759-6165

Specialties & Taxonomy Codes

Specialty
Family Medicine

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