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Organization
VETERANS WELLNESS CENTER OF ALABAMA LLC
Active
Organization
VETERANS WELLNESS CENTER OF ALABAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GRAHAM (NURSE PRACTITIONER)
(334) 676-2797
Entity
Organization
Contact information
Practice address
5911 MONTICELLO DR, MONTGOMERY, AL 36117-1940
(334) 676-2797
(334) 323-7148
Mailing address
PO BOX 240132, MONTGOMERY, AL 36124-0132
(443) 902-8816
(334) 323-7148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
10/28/2019
Last updated
10/02/2024
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