# FT PAYNE CAREPLUS, LLC

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

## Provider details

- **NPI number:** 1073086922
- **Authorized official:** ANGELA VAUGHN (ADMINISTRATOR)
- **Authorized official phone:** (256) 310-4941

## Contact information

- **Practice address:** 3000 GAULT AVE NORTH, FT PAYNE, AL 35967
- **Practice address phone:** (256) 697-1012
- **Mailing address:** 3000 GAULT AVE NORTH, FT PAYNE, AL 35967
- **Mailing address phone:** (256) 697-1012

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2019
- **Last updated:** 03/05/2025