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Organization

FT PAYNE CAREPLUS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA VAUGHN (ADMINISTRATOR)
(256) 310-4941
Entity
Organization

Contact information

Practice address
3000 GAULT AVE NORTH, FT PAYNE, AL 35967
(256) 697-1012
Mailing address
3000 GAULT AVE NORTH, FT PAYNE, AL 35967
(256) 697-1012

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/03/2019
Last updated
03/05/2025
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