Organization
FLORENCE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS A BARNES (BUSINESS MANAGER)
(256) 404-8968
Entity
Organization
Contact information
Practice address
122 E TENNESSEE ST, FLORENCE, AL 35630-5655
(256) 764-9830
(256) 764-9832
Mailing address
122 E TENNESSEE ST, FLORENCE, AL 35630-5655
(256) 764-9830
(256) 764-9832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106524
—
AL
01
—
1902852387
CIGNA
AL
01
—
4496846
AETNA
AL
01
—
51595427
BCBS OF ALABAMA
—
01
—
631053058008
TRICARE
—
Enumeration date
02/13/2013
Last updated
02/13/2013
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