MEDICARE: FOLEY CLINIC CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208000000X	Pediatrics Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1538118666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOLEY CLINIC CORP

Provider Business Mailing Address
First Line	:	7100 COMMERCE WAY
Second Line	:	SUITE 180
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2829
Country	:	US
Telephone Number	:	615-465-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4223 ORANGE BEACH BLVD
Second Line	:	STE. B
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-3409
Country	:	US
Telephone Number	:	251-981-8550
Fax Number	:	251-981-5753

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT
Name	:	DEBBIE T BREWER
Credential	:
Telephone Number	:	615-465-7626

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	02/01/2008

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Directions to “FOLEY CLINIC CORP ” Practice Location

Language	Start Address	Practice Location

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