Organization
VALLEYFAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA R DICKERSON C.R.N.P. (OWNER)
(256) 232-0475
Entity
Organization
Contact information
Practice address
12060 COUNTY LINE RD STE D, MADISON, AL 35756-2004
(256) 232-0475
(256) 232-0429
Mailing address
12060 COUNTY LINE RD STE D, MADISON, AL 35756-2004
(256) 232-0475
(256) 232-0429
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
1-093181
AL
363LF0000X
Family Nurse Practitioner
Primary
1-093181
AL
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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