Organization
GADSDEN REGIONAL PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
3212 RAINBOW DR, RAINBOW CITY, AL 35906-5805
(256) 442-7683
Mailing address
3212 RAINBOW DR, RAINBOW CITY, AL 35906-5805
(256) 442-7683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2006
Last updated
10/19/2007
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