# MONTGOMERY FAMILY PRACTICE PC

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

## Provider details

- **NPI number:** 1639245707
- **Authorized official:** DR. DAVID COFFEY DO (PRESIDENT)
- **Authorized official phone:** (334) 265-7255

## Contact information

- **Practice address:** 1758 PARK PL STE 402, MONTGOMERY, AL 36106-1135
- **Practice address phone:** (334) 265-7255
- **Practice address fax:** (334) 265-9055
- **Mailing address:** 1758 PARK PL STE 402, MONTGOMERY, AL 36106-1135
- **Mailing address phone:** (334) 265-7255
- **Mailing address fax:** (334) 265-9055

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 07/13/2011