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Organization
GMUC OF CITRONELLE LLC
Active
Organization
GMUC OF CITRONELLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN K WATERS MD (MEDICAL DIRECTOR)
(251) 633-0123
Entity
Organization
Contact information
Practice address
19355 N 3RD ST, SUITE 104, CITRONELLE, AL 36522-2049
(251) 633-0123
(251) 445-3722
Mailing address
7943 MOFFETT RD, SEMMES, AL 36575-5409
(251) 633-0123
(251) 445-3722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
02/02/2012
Last updated
08/02/2023
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