# FAIRHOPE FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1821151093
- **Authorized official:** REGAN MARY ANDRADE MD (OWNER)
- **Authorized official phone:** (251) 928-1442

## Contact information

- **Practice address:** 21875 STATE HIGHWAY 181, FAIRHOPE, AL 36532
- **Practice address phone:** (251) 928-1442
- **Mailing address:** 21875 STATE HIGHWAY 181, FAIRHOPE, AL 36532-1265
- **Mailing address phone:** (251) 928-1442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD27544 | AL | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 09/12/2012
