# WEST ALABAMA FAMILY PRACTICE & SPORTS MEDICINE PC

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

## Provider details

- **NPI number:** 1376615476
- **Authorized official:** DR. CRAIG M BUETTNER MD (CO-OWNER, PHYSICIAN)
- **Authorized official phone:** (205) 339-0171

## Contact information

- **Practice address:** 100 RICE MINE ROAD LOOP, SUITE 206, TUSCALOOSA, AL 35406-2425
- **Practice address phone:** (205) 339-0171
- **Practice address fax:** (205) 333-8681
- **Mailing address:** 100 RICE MINE ROAD LOOP, SUITE 206, TUSCALOOSA, AL 35406-2425
- **Mailing address phone:** (205) 339-0171
- **Mailing address fax:** (205) 333-8681

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 02/03/2021