Organization
SPECIALTY CLINIC, PC
Active
Other names
Covington Family Care, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER T BOYINGTON D.O. (OWNER, PHYSICIAN)
(334) 427-2273
Entity
Organization
Contact information
Practice address
508 E THREE NOTCH ST, ANDALUSIA, AL 36420-3128
(334) 472-9427
(334) 222-2183
Mailing address
PO BOX 310, ANDALUSIA, AL 36420-1205
(334) 472-9427
(334) 222-2183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO439
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051078763
ALABAMA BLUE CROSS
AL
05
—
529901030
—
AL
Enumeration date
05/14/2007
Last updated
10/02/2017
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