| Self And Self Company, Llc | |
|
306 Greeno Rd S Suite A Fairhope AL 36532-1905 | |
| (251) 928-8760 | |
| (251) 928-7028 |
| Full Name | Self And Self Company, Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 306 Greeno Rd S, Fairhope, Alabama |
| Authorized Official Name and Position | Karl Stanley Self (OWNER/PRESIDENT) |
| Authorized Official Contact | 2519288760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self And Self Company, Llc 306 Greeno Rd S Suite A Fairhope AL 36532-1905 Ph: (251) 928-8760 | Self And Self Company, Llc 306 Greeno Rd S Suite A Fairhope AL 36532-1905 Ph: (251) 928-8760 |
| NPI Number | 1174869820 |
|---|---|
| Provider Enumeration Date | 12/28/2012 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174869820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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