| Boaz Family Medicine, Pc | |
|
122 N Snead St Boaz AL 35957-1763 | |
| (256) 840-5800 | |
| (256) 840-5600 |
| Full Name | Boaz Family Medicine, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 122 N Snead St, Boaz, Alabama |
| Authorized Official Name and Position | Jerry Russell Robinson (PHYSICIAN) |
| Authorized Official Contact | 2568405800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boaz Family Medicine, Pc 122 N Snead St Boaz AL 35957-1763 Ph: (256) 840-5800 | Boaz Family Medicine, Pc 122 N Snead St Boaz AL 35957-1763 Ph: (256) 840-5800 |
| NPI Number | 1790840775 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790840775 | NPI | - | NPPES |
| 51504831 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DO287 (Alabama) | Primary |
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