Organization
SELMA/DALLAS COUNTY FAMILY PRACTICE, INC
Active
Other names
valley grande primary care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C OVERSTREET (BOARD PRESIDENT)
(334) 875-7800
Entity
Organization
Contact information
Practice address
7169 AL HIGHWAY 22 N, VALLEY GRANDE, AL 36701-9309
(337) 875-7800
(337) 875-0707
Mailing address
7169 AL HIGHWAY 22 N, VALLEY GRANDE, AL 36701-9309
(337) 875-7800
(337) 875-0707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1429
AL
Other
Enumeration date
10/06/2006
Last updated
03/30/2012
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