Organization
AGAPE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRISCILLA BEVERLY DURAND-MITCHELLE M.D. (OWNER/PHYSICIAN)
(251) 368-5117
Entity
Organization
Contact information
Practice address
706 E LAUREL ST, ATMORE, AL 36502-3114
(251) 368-5117
(251) 368-4191
Mailing address
PO BOX 650, ATMORE, AL 36504-0650
(251) 368-5117
(251) 368-4191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25566
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051559714
—
AL
01
—
51006738
BCBS
AL
Enumeration date
01/12/2012
Last updated
03/13/2012
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