Organization
CENTER STAR FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA P. DINGES C.R.N.P (OWNER)
(256) 272-0275
Entity
Organization
Contact information
Practice address
6459 HIGHWAY 72, KILLEN, AL 35645-8258
(256) 272-0275
(256) 272-0277
Mailing address
PO BOX 70, KILLEN, AL 35645-0070
(256) 272-0275
(256) 272-0277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1035809
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529919990
—
AL
Enumeration date
12/21/2006
Last updated
02/22/2011
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