Organization
SOUTHERN FAMILY PRACTICE AND OCCUPATIONAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE CASEY D.O. (PRESIDENT)
(256) 236-9400
Entity
Organization
Contact information
Practice address
700 QUINTARD AVE, ANNISTON, AL 36201-5758
(256) 236-9400
(256) 238-1498
Mailing address
PO BOX 457, ANNISTON, AL 36202-0457
(256) 236-9400
(256) 238-1498
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO-113
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063444099
NPI
AL
Enumeration date
07/02/2006
Last updated
02/23/2010
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