Organization
ISBELL MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BLAKELY ISBELL M.D. (PRESIDENT)
(256) 845-8885
Entity
Organization
Contact information
Practice address
550 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3418
(256) 845-8885
(256) 845-9546
Mailing address
550 MEDICAL CENTER DR SW, PO BOX 680199, FORT PAYNE, AL 35968-3418
(256) 845-8885
(256) 845-9546
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528301650
—
AL
Enumeration date
12/12/2006
Last updated
01/17/2018
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