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Organization

FITZ-GERALD & PERRET CLINIC

Active
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Organization

FITZ-GERALD & PERRET CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MACK FITZ-GERALD (ADMINISTRATOR)
(334) 289-1517
Entity
Organization

Contact information

Practice address
203 HWY 80 WEST, DEMOPOLIS, AL 36732
(334) 289-1517
(334) 289-8353
Mailing address
203 HWY 80 WEST, P. O. BOX 935, DEMOPOLIS, AL 36732
(334) 289-1517
(334) 289-8353

Taxonomy

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

Other

Enumeration date
04/25/2006
Last updated
03/07/2011
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