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Organization

KRICHEV FAMILY MEDICINE PC

Active
Other names
Cove Family & Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN EDWARD KRICHEV MD (PRESIDENT)
(256) 533-3003
Entity
Organization

Contact information

Practice address
5540 HIGHWAY 431 S, BROWNSBORO, AL 35741-9771
(256) 533-3003
(256) 533-3013
Mailing address
5540 HIGHWAY 431 S, BROWNSBORO, AL 35741-9771
(256) 533-3003

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25501
AL
332B00000X
Durable Medical Equipment & Medical Supplies
25501
AL

Other

Enumeration date
03/20/2007
Last updated
12/15/2010
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