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Organization
SOUTHERN FAMILY MEDICINE, PC
Active
Organization
SOUTHERN FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L CLIFTON MD (OWNER)
(256) 891-7171
Entity
Organization
Contact information
Practice address
2367 US HWY 431, BOAZ, AL 35957
(256) 840-4571
(256) 840-4534
Mailing address
PO BOX 1290, BOAZ, AL 35957
(256) 840-4571
(256) 840-4534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00025564
AL
208000000X
Pediatrics Physician
0025564
AL
Other
Enumeration date
08/29/2006
Last updated
08/14/2008
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