Organization
24ON PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A. FULLER (SECRETARY)
(770) 740-0895
Entity
Organization
Contact information
Practice address
205 MARENGO ST, FLORENCE, AL 35630-6033
(256) 768-9509
(256) 768-9512
Mailing address
PO BOX 403631, ATLANTA, GA 30384-3631
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/14/2010
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