# ST. VINCENT'S ST. CLAIR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. VINCENT'S ST. CLAIR, LLC
- **Other names:** Medical Center Pell City
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134253941
- **Legal business name:** ST. VINCENT'S ST. CLAIR, LLC
- **Authorized official:** BRANDON WILLIAMS (CFO)
- **Authorized official phone:** (205) 838-3718

## Contact information

- **Practice address:** 2811 DR JOHN HAYNES DR, SUITE 201, PELL CITY, AL 35125-1447
- **Practice address phone:** (205) 814-2104
- **Mailing address:** 2811 DR JOHN HAYNES DR, SUITE 201, PELL CITY, AL 35125-1447
- **Mailing address phone:** (205) 814-2104

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 09/06/2017
