Organization
FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL POTTER (OWNER)
(256) 331-9700
Entity
Organization
Contact information
Practice address
1355 GEORGE WALLACE HWY, RUSSELLVILLE, AL 35654-3281
(256) 331-9700
(256) 331-2615
Mailing address
160 SAYLORS CV, TUSCUMBIA, AL 35674-7700
(256) 331-9700
(256) 331-2615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-072201
AL
Other
Enumeration date
07/08/2009
Last updated
11/24/2009
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