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Organization

FAYETTE COUNTY COMMISSION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN GORDON (COUNTY COMMISSION ADMINISTER)
(205) 932-4510
Entity
Organization

Contact information

Practice address
125 2ND AVE NW, FAYETTE, AL 35555-2511
(205) 932-2666
Mailing address
103 1ST AVE NW STE 2, FAYETTE, AL 35555-2641

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
08/21/2017
Last updated
08/21/2017
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