| Millport Fam Practice Clinic, Llc | |
|
13530 Highway 96 Millport AL 35576-2522 | |
| (205) 662-5784 | |
| (205) 662-5786 |
| Full Name | Millport Fam Practice Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 13530 Highway 96, Millport, Alabama |
| Authorized Official Name and Position | Robert E Swanson (MANAGING PARTNER) |
| Authorized Official Contact | 2056625784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millport Fam Practice Clinic, Llc 13530 Highway 96 Millport AL 35576-2522 Ph: (205) 662-5784 | Millport Fam Practice Clinic, Llc 13530 Highway 96 Millport AL 35576-2522 Ph: (205) 662-5784 |
| NPI Number | 1265561328 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265561328 | NPI | - | NPPES |
| 541003936 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Fmc Medical Clinic Millport Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Highway 96, Millport, AL 35576 Phone: 205-662-3207 Fax: 205-333-4660 | |
Millport Family Practice Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13530 Highway 96, Millport, AL 35576 Phone: 205-662-5784 |