AUTAUGA FAMILY FOOT CARE CLINIC; NPI #1013187152

Contact Information

AUTAUGA FAMILY FOOT CARE CLINIC

660 MCQUEEN SMITH RD N
STE F
PRATTVILLE, AL 36066-7559

Phone: 334-358-8666
Fax: 334-358-8667
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for AUTAUGA FAMILY FOOT CARE CLINIC

NPI Number 1013187152

LBN Legal business name AUTAUGA FAMILY FOOT CARE CLINIC

Authorized official TROY ZIMBELMAN - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/05/2008

Last updated 05/14/2012 - About 14 years ago

Identifiers

License #

182

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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