Healthcare Authority Of Elba Inc

NPI 1053571588 - Family Medicine - 207Q00000X

NPI Details
NPI 1053571588
Enumeration Date 06/09/2008
Last Updated 06/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ELLEN C ELLEN
Position CEO
Phone (334) 897-2257
Fax
Practice Location
987 DRAYTON AVE
ELBA AL, 36323-1402, US
Phone (334) 897-2257
Fax
Business Location
987 DRAYTON AVE
ELBA AL, 36323-1402, US
Phone (334) 897-2257
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Healthcare Authority Of Elba Inc NPI is 1053571588, taxonomy code is 207Q00000X Healthcare Authority Of Elba Inc physically located at 987 Drayton Ave, Elba AL, 36323-1402. NPI Number 1033115704 has the healthcare provider type.

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1053571588 NPI number is provided on an as is basis without warranty of any kind. 1053571588 is maintained by the National Plan & Provider Enumeration System. The contents of Healthcare Authority Of Elba Inc are for informational purposes only.