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Organization

FORT PAYNE CLINIC CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization

Contact information

Practice address
200 MEDICAL CENTER DRIVE, ATTN: DIRECTOR OF PHYSICIAN PRACTICES, FORT PAYNE, AL 35960
(256) 845-3150
(256) 997-2512
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-3641
(615) 221-1484

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207X00000X
Orthopaedic Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529930410
AL
Enumeration date
07/19/2006
Last updated
07/07/2023
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