Provider Demographics
NPI:1427568336
Name:WEST POINT FAMILY MEDICAL PRACTICE LLC
Entity Type:Organization
Organization Name:WEST POINT FAMILY MEDICAL PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILHITE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:256-531-4987
Mailing Address - Street 1:380 COUNTY ROAD 1200
Mailing Address - Street 2:
Mailing Address - City:VINEMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35179-4601
Mailing Address - Country:US
Mailing Address - Phone:256-531-4987
Mailing Address - Fax:
Practice Address - Street 1:40131 COUNTY ROAD 1141
Practice Address - Street 2:
Practice Address - City:VINEMONT
Practice Address - State:AL
Practice Address - Zip Code:35179
Practice Address - Country:US
Practice Address - Phone:256-531-4987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty