Organization
BI-CITY MEDICAL MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BAILEY (OFFICE MANAGER)
(334) 448-9505
Entity
Organization
Contact information
Practice address
5009 RIVERCHASE DRIVE, SUITE 500, PHENIX CITY, AL 36867-7490
(334) 448-9505
(334) 448-9575
Mailing address
5009 RIVERCHASE DRIVE, SUITE 500, PHENIX CITY, AL 36867-7490
(334) 448-9505
(334) 448-9575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529923850
—
AL
01
—
K228
PTAN
—
Enumeration date
08/09/2006
Last updated
10/21/2015
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