# PARKWAY FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063601094
- **Authorized official:** DR. JOHN RAINES D.O. (PHYSICIAN)
- **Authorized official phone:** (205) 640-2808

## Contact information

- **Practice address:** 2834 MOODY PKWY, MOODY, AL 35004-3101
- **Practice address phone:** (205) 640-2808
- **Practice address fax:** (205) 640-2810
- **Mailing address:** 2834 MOODY PKWY, MOODY, AL 35004-3101
- **Mailing address phone:** (205) 640-2808
- **Mailing address fax:** (205) 640-2810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 05/13/2008