NORTHSIDE MEDICAL, INC.

FORT PAYNE, AL
NPI1205089372
Entity TypeOrganization
Authorized ContactROBERT W. THEAKSTON
President
256-845-9355
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2008-11-02
Last Update Date2008-11-02
Business Address
NORTHSIDE MEDICAL, INC.
211 GREENHILL BLVD NW
FORT PAYNE, AL 35967-3755
Phone number: 256-845-9355
Mailing Address
NORTHSIDE MEDICAL, INC.
PO BOX 680047
FORT PAYNE, AL 35968-1601
Phone number: 256-845-9355
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