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Organization
604 MEDICAL CENTER PC
Active
Organization
604 MEDICAL CENTER PC
Active
Other names
Monroeville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE WATERS (OFFICE MANAGER)
(251) 575-3266
Entity
Organization
Contact information
Practice address
16 MEDICAL CENTER DRIVE, MONROEVILLE, AL 36460
(251) 575-3266
(251) 575-3262
Mailing address
16 MEDICAL CENTER DRIVE, MONROEVILLE, AL 36460
(251) 575-3266
(251) 575-3262
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529911320
—
AL
Enumeration date
06/20/2006
Last updated
07/01/2008
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