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Organization

SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C.

Active
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Organization

SOUTH DEKALB FAMILY MEDICAL ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIE MILLER (OFFICE MANAGER)
(256) 505-4532
Entity
Organization

Contact information

Practice address
15239 AL HWY 68 W, CROSSVILLE, AL 35962-0158
(256) 528-7173
(256) 528-2425
Mailing address
15239 AL HIGHWAY 68 W, CROSSVILLE, AL 35962-0158
(256) 528-7173
(256) 528-2425

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
05/10/2010
Last updated
06/10/2010
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