Organization
FAMILY MEDICINE ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E BANACH M.D. (OWNER)
(334) 361-3090
Entity
Organization
Contact information
Practice address
204 MEDICAL CENTER CT, PRATTVILLE, AL 36066-7288
(334) 361-3090
(334) 361-2090
Mailing address
204 MEDICAL CENTER CT, PRATTVILLE, AL 36066-7288
(334) 361-3090
(334) 361-2090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23409
AL
207R00000X
Internal Medicine Physician
Primary
16083
AL
Other
Enumeration date
03/16/2007
Last updated
09/11/2025
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