| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 30 Holmes Dr, Oxford, Alabama |
| Authorized Official Name and Position | Randy Johansen (PRESIDENT) |
| Authorized Official Contact | 2054038902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 403-8902 | 30 Holmes Dr Oxford AL 36203-2420 Ph: (256) 403-3534 |
| NPI Number | 1700326022 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700326022 | NPI | - | NPPES |
| 529202590 | Medicaid | AL |
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Family Health & Wellness Center L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 Snow St, Oxford, AL 36203 Phone: 256-454-8620 | |
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