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410 Medical Park Dr Atmore AL 36502-3016 | |
| (251) 432-4117 | |
| (251) 436-7765 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 410 Medical Park Dr, Atmore, Alabama |
| Authorized Official Name and Position | Charles N/a White (CEO) |
| Authorized Official Contact | 2514324117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2048 Mobile AL 36652-2048 Ph: (251) 432-4117 | 410 Medical Park Dr Atmore AL 36502-3016 Ph: (251) 432-4117 |
| NPI Number | 1912327446 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912327446 | NPI | - | NPPES |
Ann Marie Nowak Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Roberts St, Atmore, AL 36502 Phone: 850-602-7890 | |
Dr Latisha Dailey Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Patterson St, Atmore, AL 36502 Phone: 251-359-6459 |