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Organization
4MD2 IN PATIENT PHYSICIAN SERVICES OF DECATUR LLC
Active
Organization
4MD2 IN PATIENT PHYSICIAN SERVICES OF DECATUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY DUWANE HOOPER (PRESIDENT)
(205) 999-6209
Entity
Organization
Contact information
Practice address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 341-2909
(256) 301-0053
Mailing address
1028 HIGHLAND LAKES TRCE, BIRMINGHAM, AL 35242-6877
(205) 999-6209
(205) 408-1719
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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