Organization
DOCTORS MED CARE OF FORT PAYNE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRANAV K MISHRA MD (PRESIDENT)
(256) 845-6900
Entity
Organization
Contact information
Practice address
1040 GLENN BLVD SW, FORT PAYNE, AL 35967-8413
(256) 845-6900
(256) 845-6905
Mailing address
1040 GLENN BLVD SW, FORT PAYNE, AL 35967-8413
(256) 845-6900
(256) 845-6905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2006
Last updated
08/22/2020
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