# RIVER REGION FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1578195525
- **Authorized official:** MR. MICHAEL D BRUCE CEO (CEO)
- **Authorized official phone:** (256) 675-0412

## Contact information

- **Practice address:** 277 HUNTRESS STREET, SUITE 100, WETUMPKA, AL 36092
- **Practice address phone:** (334) 567-4311
- **Mailing address:** PO BOX 130, WETUMPKA, AL 36092-0003
- **Mailing address phone:** (334) 567-4311

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2020
- **Last updated:** 08/20/2020