Southern Family Medicine, Pc

LBN: Southern Family Medicine, Pc
Southern Family Medicine, Pc is an health care organization with primary practice located at 2367 Us Hwy 431 , Boaz AL 35957. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Southern Family Medicine, Pc can be contacted via phone (256) 840-4571, or through Clifton, Angela L via phone (256) 891-7171.

Contact Information

Primary practice address
2367 Us Hwy 431 Boaz AL 35957
Phone: (256) 840-4571
Fax: (256) 840-4534
Website:
Map and Directions
Authorized official contact:
Name: Clifton, Angela L Doctor of Medicine (MD)
Phone: (256) 891-7171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00025564 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0025564 Alabama

Profile Details

NPI number 1962511600
LBN Legal business name Southern Family Medicine, Pc
DBA Doing business as
Authorized official Clifton, Angela L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962511600 NPPES
Other 7395705 AETNA
MEDICAID 529925850 AETNA
Other 0102051 AETNA

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