| Fitz-gerald & Perret Clinic | |
|
203 Hwy 80 West Demopolis AL 36732 | |
| (334) 289-1517 | |
| (334) 289-8353 |
| Full Name | Fitz-gerald & Perret Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 203 Hwy 80 West, Demopolis, Alabama |
| Authorized Official Name and Position | Mack Fitz-gerald (ADMINISTRATOR) |
| Authorized Official Contact | 3342891517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitz-gerald & Perret Clinic 203 Hwy 80 West P. O. Box 935 Demopolis AL 36732 Ph: (334) 289-1517 | Fitz-gerald & Perret Clinic 203 Hwy 80 West Demopolis AL 36732 Ph: (334) 289-1517 |
| NPI Number | 1750347142 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 03/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750347142 | NPI | - | NPPES |
| 529302040 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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