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Organization
PRICEVILLE PRIMARY CARE
Active
Organization
PRICEVILLE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI S POWERS (CEO)
(256) 973-3535
Entity
Organization
Contact information
Practice address
68 MARCO DR, DECATUR, AL 35603-5425
(256) 973-2802
(256) 686-0178
Mailing address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 973-2802
(256) 973-2552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
RN1-151783
AL
Other
Enumeration date
09/07/2018
Last updated
10/24/2024
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