Organization
FAITH MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA REYNOSO (OFFICE MANAGER)
(256) 638-4411
Entity
Organization
Contact information
Practice address
64 MCCURDY AVE N, RAINSVILLE, AL 35986-4465
(256) 638-4411
(256) 638-9275
Mailing address
64 MCCURDY AVE N, RAINSVILLE, AL 35986-4465
(256) 638-4411
(256) 638-9275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912470824
—
AL
Enumeration date
04/17/2020
Last updated
01/28/2025
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