Organization
PICKENS COUNTY FAMILY PRACTICE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRANDON (PRESIDENT)
(205) 364-7135
Entity
Organization
Contact information
Practice address
27340 HWY 86, GORDO, AL 35466-7340
(205) 364-7135
Mailing address
27340 HIGHWAY 86, GORDO, AL 35466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8876
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000015657
—
AL
Enumeration date
01/18/2007
Last updated
12/18/2007
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