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Organization
WETUMPKA MEDICAL CENTER
Active
Organization
WETUMPKA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HAYDEN (PHYSICIAN)
(334) 478-3276
Entity
Organization
Contact information
Practice address
76297 TALLASSEE HWY, WETUMPKA, AL 36092-5558
(334) 478-3276
(334) 478-3720
Mailing address
76297 TALLASSEE HWY, WETUMPKA, AL 36092-5558
(334) 478-3276
(334) 478-3720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13468
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNSPECIFIED
MEDICARE
AL
Enumeration date
05/14/2015
Last updated
05/14/2015
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