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Organization
CARE NETWORK OF EAST ALABAMA, INC.
Active
Organization
CARE NETWORK OF EAST ALABAMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. LISENBY M.D. (VICE CHAIRMAN OF THE BOARD)
(334) 528-5981
Entity
Organization
Contact information
Practice address
1365 GATEWOOD DR, SUITE 521, AUBURN, AL 36830-2834
(334) 528-5867
(334) 528-1195
Mailing address
1365 GATEWOOD DR, SUITE 521, AUBURN, AL 36830-2834
(334) 528-5867
(334) 528-1195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999
MISCELLANEOUS PROVIDER
AL
Enumeration date
05/06/2011
Last updated
05/26/2011
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