Organization
PARKWAY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RAINES D.O. (PHYSICIAN)
(205) 640-2808
Entity
Organization
Contact information
Practice address
2834 MOODY PKWY, MOODY, AL 35004-3101
(205) 640-2808
(205) 640-2810
Mailing address
2834 MOODY PKWY, MOODY, AL 35004-3101
(205) 640-2808
(205) 640-2810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529912430
—
AL
Enumeration date
10/16/2007
Last updated
05/13/2008
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