# PRICEVILLE PRIMARY CARE

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

## Provider details

- **NPI number:** 1407339328
- **Authorized official:** KELLI S POWERS (CEO)
- **Authorized official phone:** (256) 973-3535

## Contact information

- **Practice address:** 68 MARCO DR, DECATUR, AL 35603-5425
- **Practice address phone:** (256) 973-2802
- **Practice address fax:** (256) 686-0178
- **Mailing address:** 1201 7TH ST SE, DECATUR, AL 35601-3337
- **Mailing address phone:** (256) 973-2802
- **Mailing address fax:** (256) 973-2552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | RN1-151783 | AL | — |

## Other

- **Enumeration date:** 09/07/2018
- **Last updated:** 10/24/2024