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NPI Code Detail

MEDICARE: TOTAL FAMILY HEALTH CARE CENTER, LLC

MEDICARE: TOTAL FAMILY HEALTH CARE CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianD0704AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151001927OTHERALBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1285792044
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL FAMILY HEALTH CARE CENTER, LLC
Provider Business Mailing Address
First Line : 2804 GREENHILL BLVD NW
Second Line : SUITE 101
City : FORT PAYNE
State : AL
Zip : 35968-3029
Country : US
Telephone Number : 256-844-2943
Fax Number : 256-844-2939
Provider Business Practice Location Address
First Line : 2804 GREENHILL BLVD NW
Second Line : SUITE 101
City : FORT PAYNE
State : AL
Zip : 35968-3029
Country : US
Telephone Number : 256-844-2943
Fax Number : 256-844-2939
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. MINDY TURNER
Credential :
Telephone Number : 256-844-2943
Provider Enumeration Date : 12/05/2006
Last Update Date : 08/22/2020

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Directions to “TOTAL FAMILY HEALTH CARE CENTER, LLC ” Practice Location

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