Holifield Clinic Llc | |
1100 S Cedar Ave Demopolis AL 36732-3310 | |
(334) 289-2190 | |
(334) 289-2195 |
Full Name | Holifield Clinic Llc |
---|---|
Speciality | Clinic/center - Community Health |
Location | 1100 S Cedar Ave, Demopolis, Alabama |
Authorized Official Name and Position | Heather Patrick Campbell (OFFICE MANAGER) |
Authorized Official Contact | 3342892190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Holifield Clinic Llc 1100 S Cedar Ave Demopolis AL 36732-3310 Ph: (334) 289-2190 | Holifield Clinic Llc 1100 S Cedar Ave Demopolis AL 36732-3310 Ph: (334) 289-2190 |
NPI Number | 1568525855 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568525855 | NPI | - | NPPES |
1436 | Other | AL | PRESCRIPTIVE# |
7780 | Other | AL | AL LICENSE# |
0308385 | Other | AL | ACOG# |
1-045972 | Other | AL | AL LICENSE# |
85905-COW | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (Alabama) | Primary |
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