Organization
MED PLUS GENERAL PRACTICE LLC
Active
Organization
MED PLUS GENERAL PRACTICE LLC
Active
Other names
Med Plus General Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE BENTON FERGUSON M.D. (PRESIDENT)
(256) 767-4292
Entity
Organization
Contact information
Practice address
2902 MALL DR, FLORENCE, AL 35630-1534
(256) 767-4292
(256) 760-1870
Mailing address
2902 MALL DR, FLORENCE, AL 35630-1534
(256) 767-4292
(256) 760-1870
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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