Healthcare Provider Details

I. General information

NPI: 1417929357
Provider Name (Legal Business Name): NORTH ALABAMA FAMILY PRACTICE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 3RD ST NW
ATTALLA AL
35954-2022
US

IV. Provider business mailing address

515 3RD ST NW
ATTALLA AL
35954-2022
US

V. Phone/Fax

Practice location:
  • Phone: 256-538-7273
  • Fax: 256-538-2514
Mailing address:
  • Phone: 256-538-7273
  • Fax: 256-538-2514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBORA SUSAN REILAND
Title or Position: PHYSICIAN/PARTNER
Credential: D.O.
Phone: 256-538-7273