Organization
OPP FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J MICHAEL STANFIELD M.D. (PRESIDENT)
(334) 493-4472
Entity
Organization
Contact information
Practice address
604 BRANTLEY ST, OPP, AL 36467-1742
(334) 493-4472
(334) 493-9849
Mailing address
PO BOX 280, OPP, AL 36467-0280
(334) 493-4472
(334) 493-9849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21062
AL
207Q00000X
Family Medicine Physician
21063
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510
BLUE CROSS BLUE SHIELD
AL
01
—
H551
MEDICARE
AL
Enumeration date
08/29/2007
Last updated
08/29/2007
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