Organization
HAROLD E. BREITLING, JR., M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD E BREITLING JR. M.D. (PRESIDENT)
(205) 932-3978
Entity
Organization
Contact information
Practice address
1716 TEMPLE AVE N, SUITE 5, FAYETTE, AL 35555-1309
(205) 932-3978
(205) 932-3990
Mailing address
1716 TEMPLE AVE N, SUITE 5, FAYETTE, AL 35555-1309
(205) 932-3978
(205) 932-3990
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14148
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014148
—
AL
Enumeration date
03/05/2010
Last updated
03/05/2010
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