Healthcare Provider Details

I. General information

NPI: 1396838199
Provider Name (Legal Business Name): FOLEY WALK-IN MED CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 N MCKENZIE ST
FOLEY AL
36535-2234
US

IV. Provider business mailing address

1440 N MCKENZIE ST
FOLEY AL
36535-2234
US

V. Phone/Fax

Practice location:
  • Phone: 251-970-3400
  • Fax: 251-970-3406
Mailing address:
  • Phone: 251-970-3400
  • Fax: 251-970-3406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: AWADHESH K GUPTA
Title or Position: OWNER
Credential: MD
Phone: 251-970-3400