Organization
AGAPE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA BEVERLY DURAND-MITCHELLE M.D. (OWNER)
(251) 368-5117
Entity
Organization
Contact information
Practice address
706 E LAUREL ST, ATMORE, AL 36502-3114
(251) 368-5117
(251) 368-4191
Mailing address
706 E LAUREL ST, ATMORE, AL 36502-3114
(251) 368-5117
(251) 368-4191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25566
AL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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