Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 218 Main Street, Fulton, Alabama |
Authorized Official Name and Position | Huey R Kidd (PHYSICIAN) |
Authorized Official Contact | 3346364823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 65 Fulton AL 36446-0065 Ph: (334) 636-4823 | 218 Main Street Fulton AL 36446 Ph: (334) 636-4823 |
NPI Number | 1841510799 |
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Provider Enumeration Date | 06/02/2010 |
Last Update Date | 01/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841510799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |