Organization
AUTAUGA MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G FAULK (CEO)
(334) 361-9979
Entity
Organization
Contact information
Practice address
201 S WASHINGTON ST STE A, AUTAUGAVILLE, AL 36003-2535
(334) 361-9979
(334) 361-7858
Mailing address
PO BOX 490, AUTAUGAVILLE, AL 36003-0490
(334) 361-9979
(334) 361-7858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2011
Last updated
04/20/2011
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