Organization
RELIAS EMERGENCY MEDICINE SPECIALISTS OF FAYETTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KATHRYN WAKEFORD (ENTERPRISE CFO)
(205) 901-5103
Entity
Organization
Contact information
Practice address
1653 TEMPLE AVE N, FAYETTE, AL 35555-1314
(662) 432-4106
Mailing address
PO BOX 31485, CHARLOTTE, NC 28231-1485
(662) 432-4106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
10/16/2025
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