NPI 1134273345

4md2 in Patient Physician Services of Decatur LLC

Organisation Contractor Decatur, AL

Practice location

Address: 1201 7th St SE, Decatur, AL 35601-3337
Phone: (256) 341-2909
Fax: (256) 301-0053
Mailing address: 1028 Highland Lakes Trce, Birmingham, AL 35242-6877

Authorised official

Name: Guy Duwane Hooper
Title: President
Phone: (205) 999-6209

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1134273345
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 22 Aug 2020

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.