Juliana M Fort Md Llc | |
10 N Section St # 126 Fairhope AL 36532-2205 | |
(251) 978-9813 | |
Not Available |
Full Name | Juliana M Fort Md Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 10 N Section St # 126, Fairhope, Alabama |
Authorized Official Name and Position | Juliana M Fort (OWNER) |
Authorized Official Contact | 2519789813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Juliana M Fort Md Llc 10 N Section St # 126 Fairhope AL 36532-2205 Ph: (251) 978-9813 | Juliana M Fort Md Llc 10 N Section St # 126 Fairhope AL 36532-2205 Ph: (251) 978-9813 |
NPI Number | 1316120819 |
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Provider Enumeration Date | 12/07/2007 |
Last Update Date | 12/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316120819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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