NPI 1003267899

Your Doctor's Office, PC

Organisation Family Medicine Physician Montgomery, AL

Practice location

Address: 8630 Vaughn Rd, Montgomery, AL 36117-8852
Phone: (334) 676-4076
Fax: (334) 676-4064

Authorised official

Name: Shaikh Wahiduzzaman
Title: Manager/Owner
Phone: (334) 676-4076

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 24787 (AL)

Other Family Medicine providers in Alabama →

Registry record

NPI: 1003267899
Entity type: Organization
NPI issued: 23 Jun 2016
Record last updated: 31 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.