Organization
PRATTVILLE CHRISTIAN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MCINTYRE MD (OWNER)
(334) 279-8180
Entity
Organization
Contact information
Practice address
478 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066-5631
(334) 356-9200
(334) 356-1064
Mailing address
128 MITYLENE PARK LN, MONTGOMERY, AL 36117-3758
(334) 279-8180
(334) 279-8214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00025985
AL
Other
Enumeration date
03/07/2014
Last updated
03/12/2014
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