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Organization
IMC EASTERN SHORE WOMEN'S HEALTH LLC
Active
Organization
IMC EASTERN SHORE WOMEN'S HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1361
Entity
Organization
Contact information
Practice address
188 HOSPITAL DR STE 202, FAIRHOPE, AL 36532-2038
(251) 279-3794
Mailing address
188 HOSPITAL DR STE 202, FAIRHOPE, AL 36532-2038
(251) 279-3794
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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