MEDICARE: NORTH ALABAMA FAMILY PRACTICE, PC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1851426068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH ALABAMA FAMILY PRACTICE, PC

Provider Business Mailing Address
First Line	:	11744 US HIGHWAY 431
Second Line	:
City	:	BOAZ
State	:	AL
Zip	:	35956-2104
Country	:	US
Telephone Number	:	256-593-0251
Fax Number	:	256-593-0076

Provider Business Practice Location Address
First Line	:	11744 US HIGHWAY 431
Second Line	:
City	:	BOAZ
State	:	AL
Zip	:	35956-2104
Country	:	US
Telephone Number	:	256-593-0251
Fax Number	:	256-593-0076

Authorized Official
Title or Position	:	PHYSICIAN PARTNER
Name	:	DR. DEBORA SUSAN REILAND
Credential	:	D.O.
Telephone Number	:	256-593-0251

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/22/2020

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