Organization
FIRST CARE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWOLE S. AKISANYA M.D. (OWNER/PHYSICIAN)
(256) 543-9955
Entity
Organization
Contact information
Practice address
311 SOUTH 4TH STREET, GADSDEN, AL 35901-5212
(256) 543-9955
(256) 543-9351
Mailing address
311 SOUTH 4TH STREET, GADSDEN, AL 35901-5212
(256) 543-9955
(256) 543-9351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20405
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060841
—
AL
Enumeration date
04/13/2006
Last updated
10/25/2011
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