Organization
TRICOUNTY FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABAYOMI G OSHINOWO MD (MEDICAL DIRECTOR)
(334) 863-5484
Entity
Organization
Contact information
Practice address
149 CHESTNUT ST, ROANOKE, AL 36274-1301
(334) 863-5484
(334) 863-5481
Mailing address
149 CHESTNUT ST, ROANOKE, AL 36274-1301
(334) 863-5484
(334) 863-5481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20466
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529904460
—
AL
Enumeration date
09/01/2006
Last updated
12/16/2008
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