Healthcare Provider Details

I. General information

NPI: 1598135220
Provider Name (Legal Business Name): FAMILY PRACTICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 DOTHAN RD
ABBEVILLE AL
36310-2836
US

IV. Provider business mailing address

217 DOTHAN RD
ABBEVILLE AL
36310-2836
US

V. Phone/Fax

Practice location:
  • Phone: 334-585-6421
  • Fax:
Mailing address:
  • Phone: 334-585-6421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD MEADOWS
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 334-585-6421