# PRATTVILLE PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1326184029
- **Authorized official:** DR. DANNY P INGRAM MD (PRESIDENT)
- **Authorized official phone:** (334) 365-2205

## Contact information

- **Practice address:** 461 E MAIN STREET, PRATTVILLE, AL 36067
- **Practice address phone:** (334) 365-2205
- **Practice address fax:** (334) 361-7975
- **Mailing address:** PO DRAWER 681330, PRATTVILLE, AL 36068-1330
- **Mailing address phone:** (334) 365-2205
- **Mailing address fax:** (334) 361-7975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10401 | AL | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 02/21/2020