Wetumpka Medical Center

NPI 1073991733 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1073991733
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MARK MARK
Position PHYSICIAN
Phone (334) 478-3276
Fax (334) 478-3720
Practice Location
76297 TALLASSEE HWY
WETUMPKA AL, 36092-5558, US
Phone (334) 478-3276
Fax (334) 478-3720
Business Location
76297 TALLASSEE HWY
WETUMPKA AL, 36092-5558, US
Phone (334) 478-3276
Fax (334) 478-3720
Toxanomy
Taxonomy Code 363L00000X
License State Alabama
License Number 13468
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According to our database, Wetumpka Medical Center NPI is 1073991733, taxonomy code is 363L00000X and license number is 13468, license state is located at Alabama. Wetumpka Medical Center physically located at 76297 Tallassee Hwy, Wetumpka AL, 36092-5558. NPI Number 1033115704 has the healthcare provider type.

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1073991733 NPI number is provided on an as is basis without warranty of any kind. 1073991733 is maintained by the National Plan & Provider Enumeration System. The contents of Wetumpka Medical Center are for informational purposes only.