Organization
FAMILY FIRST MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LE ANN THRASH CNA (OWNER/PHYSICIAN)
(256) 638-9161
Entity
Organization
Contact information
Practice address
504 MCCURDY AVE SOUTH, STE 6, RAINSVILLE, AL 35986-5254
(256) 638-9161
(256) 638-9164
Mailing address
PO BOX 649, RAINSVILLE, AL 35986-0649
(256) 638-9161
(256) 638-9164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
1093350
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO6289
RR MEDICARE
—
Enumeration date
11/08/2007
Last updated
09/05/2012
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