| Organization Name: | GENERAL PRACTICE, P.C. |
| NPI Number: | 1649434424 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY A RANDALL (MANAGER) |
| Mailing Address: | 3849 Gulf Shores Pkwy Sunset Plaza Suite 9 Gulf Shores |
| State: | AL US |
| Postal Code: | 365422856 |
| Phone Number: | 2519682441 |
| Fax Number: | 2519685555 |
| NPI Enumeration Date: | 07/11/2008 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DO58 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |