Organization
PICKENS COUNTY PRIMARY CARE, PC
Active
Organization
PICKENS COUNTY PRIMARY CARE, PC
Active
Parent organization
PICKENS COUNTY PRIMARY CARE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PICKENS COUNTY PRIMARY CARE, PC
Authorized official
JULIA L BOOTHE MD (OWNER)
(205) 792-6702
Entity
Organization
Contact information
Practice address
535 4TH ST NW, GORDO, AL 35466-2558
(205) 656-4872
Mailing address
PO BOX 1000, REFORM, AL 35481-1000
(205) 656-4872
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
07/11/2023
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