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1235590001
MEDCENTER FAYETTE, LLC
FAYETTE, AL
NPI
1235590001
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Entity Type
Organization
Authorized Contact
BETH KOHN
Credentialing Specialist
912-756-2273
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2016-03-08
Last Update Date
2024-12-19
Business Address
MEDCENTER FAYETTE, LLC
122 17TH CT NE
FAYETTE, AL 35555-1353
Phone number: 205-330-1707
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Mailing Address
MEDCENTER FAYETTE, LLC
3909 MCFARLAND BLVD
NORTHPORT, AL 35476-2838
Phone number: 205-330-1707
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