Organization
PICKENS COUNTY PRIMARY CARE, P.C
Active
Parent organization
PICKENS COUNTY PRIMARY CARE, P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
PICKENS COUNTY PRIMARY CARE, P.C
Authorized official
JULIA L BOOTHE MD (OWNER)
(205) 792-6701
Entity
Organization
Contact information
Practice address
815 7TH AVE SW, REFORM, AL 35481
(205) 375-2438
(205) 375-2439
Mailing address
108 4TH AVE SW STE A, REFORM, AL 35481-8018
(205) 375-6251
(205) 375-9064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
02/19/2020
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