Triad Of Alabama Llc

NPI 1063464204 - Clinic/Center - 261QI0500X

NPI Details
NPI 1063464204
Enumeration Date 05/16/2006
Last Updated 04/14/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBBIE DEBBIE
Position DIRECTOR, PROVIDER ENROLLMENT
Phone (334) 687-7346
Fax
Practice Location
314 MACON ST
EUFAULA AL, 36027-1810, US
Phone (334) 687-7346
Fax
Business Location
PO BOX 1964
DOTHAN AL, 36302-1964, US
Phone (334) 687-7346
Fax
Toxanomy
Taxonomy Code 261QI0500X
License State Alabama
License Number 5082
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According to our database, Triad Of Alabama Llc NPI is 1063464204, taxonomy code is 261QI0500X and license number is 5082, license state is located at Alabama. Triad Of Alabama Llc physically located at 314 Macon St, Eufaula AL, 36027-1810. NPI Number 1033115704 has the healthcare provider type.

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1063464204 NPI number is provided on an as is basis without warranty of any kind. 1063464204 is maintained by the National Plan & Provider Enumeration System. The contents of Triad Of Alabama Llc are for informational purposes only.