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Organization

ANDALUSIA PHYSICIAN PRACTICES LLC

Active
Other names
Andalusia Neurology
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization

Contact information

Practice address
109 MEDICAL PARK DR, SUITE A, ANDALUSIA, AL 36420-5323
(334) 222-2332
(334) 222-2475
Mailing address
PO BOX 28, ANDALUSIA, AL 36420-1200
(334) 222-2332
(334) 222-2475

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
27742
AL

Other

Enumeration date
01/18/2007
Last updated
02/09/2023
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