Healthcare Provider Details

I. General information

NPI: 1699692475
Provider Name (Legal Business Name): FLYNT MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17664 NEW CUT RD
ATHENS AL
35611-0908
US

IV. Provider business mailing address

17664 NEW CUT RD
ATHENS AL
35611-0908
US

V. Phone/Fax

Practice location:
  • Phone: 256-541-4443
  • Fax:
Mailing address:
  • Phone: 256-541-4443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. RAECE FLYNT
Title or Position: CRNP/ OWNER
Credential: CRNP
Phone: 256-541-4443