Organization
GENERAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A RANDALL (MANAGER)
(251) 967-5215
Entity
Organization
Contact information
Practice address
3849 GULF SHORES PKWY, SUNSET PLAZA SUITE 9, GULF SHORES, AL 36542-2856
(251) 968-2441
(251) 968-5555
Mailing address
PO BOX 2029, GULF SHORES, AL 36547-2029
(251) 968-2441
(251) 968-5555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DO58
AL
Other
Enumeration date
07/11/2008
Last updated
04/09/2012
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