Organization
WECARE FAMILY PRACTICE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REMONA L PETERSON MD (OWNER)
(205) 764-5162
Entity
Organization
Contact information
Practice address
6521 HIGHWAY 69 S STE M, TUSCALOOSA, AL 35405-6498
(205) 764-5162
(205) 764-5187
Mailing address
6521 HIGHWAY 69 S STE M, TUSCALOOSA, AL 35405-6498
(205) 764-5162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
05/15/2019
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