Organization
WILLS VALLEY FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES H KOE MD (OWNER)
(256) 524-3090
Entity
Organization
Contact information
Practice address
13280 COUNTY ROAD 51, COLLINSVILLE, AL 35961-4174
(256) 524-3090
(256) 524-2885
Mailing address
13280 COUNTY ROAD 51, COLLINSVILLE, AL 35961-4174
(256) 524-3090
(256) 524-2885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316103237
—
AL
01
—
510I080356
MEDICARE PTAN
AL
Enumeration date
07/30/2008
Last updated
10/28/2008
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