Organization
PICKENS COUNTY PRIMARY CARE, PC
Active
Parent organization
PICKENS COUNTY PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PICKENS COUNTY PRIMARY CARE
Authorized official
JULIA L BOOTHE MD (OWNER)
(205) 792-6701
Entity
Organization
Contact information
Practice address
205 4TH AVE, REFORM, AL 35481
(205) 375-2304
(205) 375-2335
Mailing address
108 4TH AVE SW STE A, REFORM, AL 35481-8018
(205) 375-6251
(205) 375-2335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
02/19/2020
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