Organization
FAIRHOPE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGAN MARY ANDRADE MD (OWNER)
(251) 928-1442
Entity
Organization
Contact information
Practice address
21875 STATE HIGHWAY 181, FAIRHOPE, AL 36532
(251) 928-1442
Mailing address
21875 STATE HIGHWAY 181, FAIRHOPE, AL 36532-1265
(251) 928-1442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27544
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851370266
INDIVIDUAL NPI NUMBER
—
Enumeration date
12/19/2006
Last updated
09/12/2012
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