# SELMA/DALLAS COUNTY FAMILY PRACTICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** valley grande primary care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932296423
- **Authorized official:** DR. DONALD C OVERSTREET (BOARD PRESIDENT)
- **Authorized official phone:** (334) 875-7800

## Contact information

- **Practice address:** 7169 AL HIGHWAY 22 N, VALLEY GRANDE, AL 36701-9309
- **Practice address phone:** (337) 875-7800
- **Practice address fax:** (337) 875-0707
- **Mailing address:** 7169 AL HIGHWAY 22 N, VALLEY GRANDE, AL 36701-9309
- **Mailing address phone:** (337) 875-7800
- **Mailing address fax:** (337) 875-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1429 | AL | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 03/30/2012