Corizon Healthcare | |
2690 Marion Spillway Rd Elmore AL 36025-1531 | |
(334) 567-2221 | |
Not Available |
Full Name | Corizon Healthcare |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 2690 Marion Spillway Rd, Elmore, Alabama |
Authorized Official Name and Position | Anita Wilson (PHYSICAN) |
Authorized Official Contact | 3342079988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Corizon Healthcare 2690 Marion Spillway Rd Elmore AL 36025-1531 Ph: (334) 567-2221 | Corizon Healthcare 2690 Marion Spillway Rd Elmore AL 36025-1531 Ph: (334) 567-2221 |
NPI Number | 1770020372 |
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Provider Enumeration Date | 01/21/2017 |
Last Update Date | 01/21/2017 |
Identifier | Type | State | Issuer |
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1770020372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0905X | Clinic/center - Public Health, State Or Local | 1-107743 (Alabama) | Primary |