| Selma/dallas County Family Practice, Inc | |
|
7169 Al Highway 22 N Valley Grande AL 36701-9309 | |
| (337) 875-7800 | |
| (337) 875-0707 |
| Full Name | Selma/dallas County Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7169 Al Highway 22 N, Valley Grande, Alabama |
| Authorized Official Name and Position | Donald C Overstreet (BOARD PRESIDENT) |
| Authorized Official Contact | 3348757800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selma/dallas County Family Practice, Inc 7169 Al Highway 22 N Valley Grande AL 36701-9309 Ph: (337) 875-7800 | Selma/dallas County Family Practice, Inc 7169 Al Highway 22 N Valley Grande AL 36701-9309 Ph: (337) 875-7800 |
| NPI Number | 1932296423 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932296423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1429 (Alabama) | Primary |