# HEALTHCARE AUTHORITY OF ELBA INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTHCARE AUTHORITY OF ELBA INC
- **Other names:** Elba Physician Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053571588
- **Legal business name:** HEALTHCARE AUTHORITY OF ELBA INC
- **Authorized official:** ELLEN C BRILEY RN (CEO)
- **Authorized official phone:** (334) 897-2257

## Contact information

- **Practice address:** 987 DRAYTON AVE, ELBA, AL 36323-1402
- **Practice address phone:** (334) 897-2257
- **Mailing address:** 987 DRAYTON AVE, ELBA, AL 36323-1402
- **Mailing address phone:** (334) 897-2257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008