Organization
FAIRVIEW FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY PATTERSON (MANAGER)
(256) 595-8554
Entity
Organization
Contact information
Practice address
7 BUTLER ST, CULLMAN, AL 35058-1200
(256) 500-4511
(256) 500-4512
Mailing address
PO BOX 1370, CULLMAN, AL 35056-1370
(256) 595-8554
(256) 500-4512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361161
—
AL
Enumeration date
09/05/2024
Last updated
09/05/2025
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