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General NPI Number Information
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NPI Number | 1801986807
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Entity Type | Organization
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Legal Business Name | COMPLETE FAMILY HEALTH CARE, P.C.
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 5577 CHALKVILLE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2171
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Country | US
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Telephone | 205-853-3533
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Fax | 205-856-3808
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Provider Business Mailing Address
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Address Line | 5577 CHALKVILLE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35235-2171
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Country | US
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Telephone | 205-853-3533
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Fax | 205-856-3808
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Authorized Official
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Title or Position | CHAIRMAN, BOARD OF DIRECTORS
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Name | DR. JOHN JOSEPH DAVIS
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Credential | MD
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Telephone | 205-853-3533
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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 | 00012531
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License Number State | AL
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