Southern Divine Family Medical Center LLC
Southern Divine Family Medical Center LLC is an Internal Medicine Physician in Altoona, Alabama. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7130 6th AveAltoona, AL 35952-9052
Phone: (205) 589-1092
Fax: (205) 589-1096
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1104456920 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Enrico Gaspar — Owner · (256) 840-8181 |
| Other names | United Doctors Family Medical Center - Altoona |
| NPI enumerated | January 21, 2020 |
| Last updated in NPPES | April 9, 2022 |
| Certification date | April 9, 2022 |
| Mailing address | Po Box 35, Altoona, AL 35952-0035 |
Other providers in Altoona
-
Ashley Brooke Bozarth, CRNP
7130 6th Ave, Altoona, AL 35952-9052 · (205) 589-1092