Healthcare Provider Details

I. General information

NPI: 1427568336
Provider Name (Legal Business Name): WEST POINT FAMILY MEDICAL PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 10/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40131 COUNTY ROAD 1141
VINEMONT AL
35179
US

IV. Provider business mailing address

380 COUNTY ROAD 1200
VINEMONT AL
35179-4601
US

V. Phone/Fax

Practice location:
  • Phone: 256-531-4987
  • Fax:
Mailing address:
  • Phone: 256-531-4987
  • 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: PATRICIA D WILHITE
Title or Position: OWNER
Credential: CRNP
Phone: 256-531-4987