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General NPI Number Information
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NPI Number | 1780721472
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Entity Type | Organization
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Legal Business Name | HOMETOWN DOCTORS PC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 617 E BROAD ST SUITE B
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City | EUFAULA
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State | AL
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Zip | 36027-1710
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Country | US
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Telephone | 334-687-9990
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Fax | 334-687-9190
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Provider Business Mailing Address
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Address Line | PO BOX 39
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City | EUFAULA
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State | AL
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Zip | 36072-0039
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Country | US
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Telephone | 334-687-9990
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Fax | 334-687-9190
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAJESH VINOD PATEL
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Credential | DO
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Telephone | 334-687-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO 371
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License Number State | AL
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