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1255609301
SOUTHERN FAMILY MEDICINE
BOAZ, AL
NPI
1255609301
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Entity Type
Organization
Authorized Contact
TRACI STEWART
Director
256-840-4571
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 30193)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
SOUTHERN FAMILY MEDICINE
2367 US HIGHWAY 431
BOAZ, AL 35957-5910
Phone number: 256-840-4571
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Mailing Address
SOUTHERN FAMILY MEDICINE
P.O. BOX 11407 DEPT# 2069
BIRMINGHAM, AL 35246-2069
Phone number: 256-840-4571
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