| Foley Family Practice | |
|
205 W Orange Ave Foley AL 36535-1905 | |
| (251) 943-6108 | |
| (251) 943-6108 |
| Full Name | Foley Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 W Orange Ave, Foley, Alabama |
| Authorized Official Name and Position | Tara a Waite (OWNER) |
| Authorized Official Contact | 2055227000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foley Family Practice 205 W Orange Ave Foley AL 36535-1905 Ph: (251) 943-6108 | Foley Family Practice 205 W Orange Ave Foley AL 36535-1905 Ph: (251) 943-6108 |
| NPI Number | 1083080600 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Medicare PECOS PAC ID | 1254641053 |
|---|---|
| Medicare Enrollment ID | O20151106001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083080600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Joel P Laughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578503496 PECOS PAC ID: 3779590732 Enrollment ID: I20060315000724 |
| Provider Name | Michael Caruso |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720267891 PECOS PAC ID: 1951465947 Enrollment ID: I20141029002378 |
| Provider Name | Brittany C Wickware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053802926 PECOS PAC ID: 5991054520 Enrollment ID: I20180815002035 |
| Provider Name | Cameron Townsend Corte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083034888 PECOS PAC ID: 8123381563 Enrollment ID: I20190730002620 |
| Provider Name | Valerie Staples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629303458 PECOS PAC ID: 2264824937 Enrollment ID: I20220110002501 |
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