Individual
DR. LARRY C. FITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 S MEMORIAL PKWY, HUNTSVILLE, AL 35803-2122
(256) 650-4665
(256) 650-4624
Mailing address
11100 S MEMORIAL PKWY, HUNTSVILLE, AL 35803-2122
(256) 650-4665
(256) 650-4624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7892
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4089717
AETNA
AL
01
—
51511369
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/15/2006
Last updated
07/08/2007
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