Organization
FORT PAYNE CLINIC CORP
Active
Organization
FORT PAYNE CLINIC CORP
Active
Other names
DeKalb Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MILLER (SENIOR VP)
(256) 845-6203
Entity
Organization
Contact information
Practice address
421 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 845-6203
(205) 845-5418
Mailing address
421 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3421
(256) 845-6203
(205) 845-5418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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