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850 Tuscaloosa St Ste A Greensboro AL 36744-1562 | |
(601) 832-0662 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 850 Tuscaloosa St Ste A, Greensboro, Alabama |
Authorized Official Name and Position | Lauren Elizabeth Goddard (OWNER/PRESIDENT) |
Authorized Official Contact | 3342180160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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850 Tuscaloosa St Ste A Greensboro AL 36744-1562 Ph: (601) 832-0662 | 850 Tuscaloosa St Ste A Greensboro AL 36744-1562 Ph: (601) 832-0662 |
NPI Number | 1326870361 |
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Provider Enumeration Date | 08/19/2024 |
Last Update Date | 10/06/2024 |
Identifier | Type | State | Issuer |
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1326870361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |