| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 180 Medical Street, Snead, Alabama |
| Authorized Official Name and Position | George Scott Fenn (CHIEF INTEGRATION OFFICER) |
| Authorized Official Contact | 2057155415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 13128 Birmingham AL 35202-3128 Ph: (205) 715-5904 | 180 Medical Street Snead AL 35952 Ph: (205) 466-7114 |
| NPI Number | 1023143484 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 04/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023143484 | NPI | - | NPPES |
| 541003888 | Medicaid | AL | |
| 529301940 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Agape Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42598 State Highway 75, Snead, AL 35952 Phone: 205-466-9096 |