# IMC EASTERN SHORE WOMEN'S HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437705704
- **Authorized official:** ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (251) 435-1361

## Contact information

- **Practice address:** 188 HOSPITAL DR STE 202, FAIRHOPE, AL 36532-2038
- **Practice address phone:** (251) 279-3794
- **Mailing address:** 188 HOSPITAL DR STE 202, FAIRHOPE, AL 36532-2038
- **Mailing address phone:** (251) 279-3794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2019
- **Last updated:** 08/13/2019