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Organization
CAPSHAW FAMILY CARE
Active
Organization
CAPSHAW FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRINA B HOLT (EXECUTIVE DIRECTOR)
(256) 216-9648
Entity
Organization
Contact information
Practice address
27669 CAPSHAW RD STE A2, HARVEST, AL 35749-6212
(256) 216-1996
(256) 216-1940
Mailing address
PO BOX 999, ATHENS, AL 35612-0999
(256) 216-1996
(256) 216-1940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
01/05/2024
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