Eufaula Family Medicine
Organization Active NPI Family Medicine Physician · Eufaula, AL
NPI 1023216801 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023216801
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22858 (AL)
- Legal business name
- EUFAULA FAMILY MEDICINE
- Practice address
- 617 E Broad St
B
Eufaula, AL 36027 - Phone
- (334) 687-0112
- Fax
- (334) 687-0113
- NPI assigned
- Jul 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Richard Shack, MD
- Title
- Owner
- Phone
- (334) 687-0112
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 22858 | AL | Yes |
Addresses
Primary practice location
617 E Broad St
B
Eufaula, AL 36027
Mailing address
617 E Broad St
B
Eufaula, AL 36027
Phone (334) 687-0112
Other providers in Eufaula, AL
- Encore Rehabilitation Inc
- Ess of Eufaula, LLC
- Eufaula City
- Eufaula Eye Associates, Inc.
- Eufaula Family Chiropractic, P.C.
- Eufaula MRI, LLC
- Eufaula Physical Therapy and Wellness, LLC
- Alissa Evans
- Family & Community Medicine Associates LLC
- Family & Community Medicine Associates LLC
All providers in Eufaula, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.