Organization
SUMMERDALE FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD SANFORD M.D. (PRESIDENT)
(251) 989-9400
Entity
Organization
Contact information
Practice address
109 HIGHWAY 59 N, SUMMERDALE, AL 36580
(251) 989-9400
(251) 989-2090
Mailing address
PO BOX 600, SUMMERDALE, AL 36580-0600
(251) 989-9400
(251) 989-2090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26509
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555997
—
AL
Enumeration date
01/30/2008
Last updated
12/18/2013
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