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Organization

FOLEY WALK-IN MED CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AWADHESH K GUPTA MD (OWNER)
(251) 970-3400
Entity
Organization

Contact information

Practice address
1440 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 970-3400
(251) 970-3406
Mailing address
1440 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 970-3400
(251) 970-3406

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51008296
BLUE CROSS BLUE SHIELD
AL
05
529901230
AL
Enumeration date
10/02/2006
Last updated
07/01/2008
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