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Organization
RAYNARD FABIANKE, MEDICAL CLINIC OF RED BAY
Active
Organization
RAYNARD FABIANKE, MEDICAL CLINIC OF RED BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA COPELAND (BILLING MANAGER)
(256) 532-1888
Entity
Organization
Contact information
Practice address
209 HOSPITAL RD, RED BAY, AL 35582-3858
(256) 356-9511
(256) 356-9339
Mailing address
PO BOX 429, RED BAY, AL 35582-0429
(256) 356-9511
(256) 356-9339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
09/30/2013
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