Healthcare Provider Details

I. General information

NPI: 1124946116
Provider Name (Legal Business Name): ACADIAN FAMILY MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2806 JOHN HAYNES DR
PELL CITY AL
35125-1485
US

IV. Provider business mailing address

2806 JOHN HAYNES DR
PELL CITY AL
35125-1485
US

V. Phone/Fax

Practice location:
  • Phone: 205-482-4266
  • Fax:
Mailing address:
  • Phone: 205-482-4266
  • Fax:

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: MICHEAL D DUPRE
Title or Position: OWNER
Credential: MD
Phone: 205-482-4266