Southern Family Practice,llc

NPI #1770734543 in Geneva, Alabama

Provider Information

NPI Number
1770734543
Entity Type
Organization
Organization Name
Southern Family Practice,llc
Primary Specialty
Nurse Practitioner
Enumeration Date
Oct 9, 2008
Last Updated
Mar 23, 2009

Practice Location

Address
100 W LAKE PROFESSIONAL PARK STE 1
City
Geneva
State
Alabama
ZIP Code
36340-1200
Phone
(334) 684-9400

Authorized Official

Name
MRS. CECILIA RENEE ROBINSON, CRNP
Title
NURSE PRACTITIONER
Phone
(334) 684-9400

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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