Organization
PICKENS COUNTY PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ANN BEAMS (BILLING)
(205) 828-3140
Entity
Organization
Contact information
Practice address
99 COMMERCE AVENUE, CARROLLTON, AL 35447
(205) 375-6351
Mailing address
108 4TH AVE SW, REFORM, AL 35481-8018
(205) 375-6351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
03/02/2022
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