# VETERANS WELLNESS CENTER OF ALABAMA LLC

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

## Provider details

- **NPI number:** 1568005056
- **Authorized official:** DAVID GRAHAM (NURSE PRACTITIONER)
- **Authorized official phone:** (334) 676-2797

## Contact information

- **Practice address:** 5911 MONTICELLO DR, MONTGOMERY, AL 36117-1940
- **Practice address phone:** (334) 676-2797
- **Practice address fax:** (334) 323-7148
- **Mailing address:** PO BOX 240132, MONTGOMERY, AL 36124-0132
- **Mailing address phone:** (443) 902-8816
- **Mailing address fax:** (334) 323-7148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 10/02/2024