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Organization

SARALAND FAMILY PRACT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A MCDANIEL M.D. (MD/OWNER)
(251) 544-2000
Entity
Organization

Contact information

Practice address
119 ENNIS ST, SARALAND, AL 36571-2706
(251) 544-2000
(251) 544-2004
Mailing address
119 ENNIS ST, SARALAND, AL 36571-2706
(251) 544-2000
(251) 544-2004

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00012136
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K961
MEDICARE GROUP
Enumeration date
08/31/2006
Last updated
08/10/2007
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