Organization
FAMILY MEDICINE ASSOCIATES OF EAST ALABAMA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN EDWARD ROGERS MD (OWNER/VICE PRESIDENT)
(334) 745-4646
Entity
Organization
Contact information
Practice address
122 N 20TH ST BLDG 24, OPELIKA, AL 36801-5442
(334) 745-4646
(334) 745-0633
Mailing address
122 N 20TH ST BLDG 24, OPELIKA, AL 36801-5442
(334) 745-4646
(334) 745-0633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7477
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51076478
BCBS PROVIDER #
AL
05
—
528902200
—
AL
Enumeration date
12/14/2006
Last updated
01/21/2022
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