Organization
DECATUR FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DRAKE RADCLIFF (OFFICE MANAGER)
(256) 584-8211
Entity
Organization
Contact information
Practice address
1215 7TH STREET SE, SUITE 110, DECATUR, AL 35601-3381
(256) 306-1655
(256) 306-1601
Mailing address
1215 7TH STREET SE, SUITE 110, DECATUR, AL 35601-3381
(256) 306-1655
(256) 306-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529902310
—
AL
Enumeration date
05/29/2007
Last updated
11/20/2009
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