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Organization
FMC MEDICAL CLINIC - BERRY LLC
Active
Organization
FMC MEDICAL CLINIC - BERRY LLC
Active
Other names
Berry Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CLAY CONVILLE (CORP DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization
Contact information
Practice address
32 SCHOOL AVE, BERRY, AL 35546-2246
(205) 689-0909
Mailing address
3901 GREENSBORO AVE STE A, TUSCALOOSA, AL 35405-3771
(205) 759-6165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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