| |
978 Drayton Ave Elba AL 36323-1404 | |
(334) 897-2597 | |
(334) 897-6662 |
Full Name | |
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Speciality | Family Medicine |
Location | 978 Drayton Ave, Elba, Alabama |
Authorized Official Name and Position | Ellen C. Briley (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3348972257 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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978 Drayton Ave Elba AL 36323-1404 Ph: (334) 897-2597 | 978 Drayton Ave Elba AL 36323-1404 Ph: (334) 897-2597 |
NPI Number | 1831249283 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831249283 | NPI | - | NPPES |
510-98808 | Other | AL | BCBS OF AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO314 (Alabama) | Primary |
Mizell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-493-5713 | |