# CHRISTINE FOUTY MD PC

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

## Provider details

- **NPI number:** 1528374279
- **Authorized official:** DR. CHRISTINE FOUTY MD (OWNER)
- **Authorized official phone:** (251) 458-2056

## Contact information

- **Practice address:** 101 VILLA DR, DAPHNE, AL 36526-4653
- **Practice address phone:** (251) 458-2056
- **Practice address fax:** (251) 621-4837
- **Mailing address:** PO BOX 880, DAPHNE, AL 36526-0880
- **Mailing address phone:** (251) 625-2411
- **Mailing address fax:** (251) 621-4837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 26568 | AL | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2010