Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 75 5th Avenue, Millry, Alabama |
Authorized Official Name and Position | James S Donald (OWNER) |
Authorized Official Contact | 2518476262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1237 Chatom AL 36518-1237 Ph: (251) 847-6262 | 75 5th Avenue Millry AL 36558-0000 Ph: (251) 847-6262 |
NPI Number | 1326243270 |
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Provider Enumeration Date | 06/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326243270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |