Organization · Type 2 NPI
Self and Self Company, LLC
Adult Medicine Physician · Fairhope, AL
NPI number
1174869820
Active
Practice location
306 Greeno Rd S, Suite A
Fairhope, AL 36532-1905
Fax (251) 928-7028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1174869820
Self and Self Company, LLC's National Provider Identifier is 1174869820, issued on Dec 28, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Fairhope, AL. The record was last updated on Mar 17, 2015.