Healthcare Provider Details

I. General information

NPI: 1548338247
Provider Name (Legal Business Name): CHILTON FAMILY MEDICINE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 HEALTH CENTER DR
CLANTON AL
35045-2344
US

IV. Provider business mailing address

107 HEALTH CENTER DR
CLANTON AL
35045-2344
US

V. Phone/Fax

Practice location:
  • Phone: 205-280-1010
  • Fax: 205-280-3744
Mailing address:
  • Phone: 205-280-1010
  • Fax: 205-280-3744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY FRANK PRICE
Title or Position: PRES./PHYSICAN
Credential: M.D.
Phone: 205-280-1010