Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fmc Medical Clinic - Fayette LLC

Organization Family Medicine Physician · NPI 1588141063

Fmc Medical Clinic - Fayette LLC is a Family Medicine Physician in Fayette, Alabama. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1653 Temple Ave N Ste 1
Fayette, AL 35555-1314
Phone: (205) 932-1112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1588141063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Conville — Corp Director Physician Services · (205) 759-6165
NPI enumeratedJuly 26, 2018
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address1653 Temple Ave N Ste 1, Fayette, AL 35555-1314

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