Organization
PHYSICIANS CARE OF GADSDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK WAYNE KELLY MD (PRESIDENT)
(256) 543-7406
Entity
Organization
Contact information
Practice address
1024 1ST AVE, GADSDEN, AL 35901-3544
(256) 543-7406
(256) 543-1661
Mailing address
1024 1ST AVE, GADSDEN, AL 35901-3544
(256) 543-7406
(256) 543-7413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00147324
RAILROAD MEDICARE
AL
Enumeration date
01/02/2008
Last updated
09/19/2018
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