# PHYSICIANS CARE OF GROVE HILL LLC

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

## Provider details

- **NPI number:** 1568915106
- **Authorized official:** HUEY R KIDD DO (PHYSICIAN)
- **Authorized official phone:** (334) 636-5311

## Contact information

- **Practice address:** 127 CLARK ST STE C&D, GROVE HILL, AL 36451-3050
- **Practice address phone:** (334) 636-5311
- **Practice address fax:** (334) 636-2280
- **Mailing address:** 127 CLARK ST STE C&D, GROVE HILL, AL 36451-3050
- **Mailing address phone:** (334) 636-5311
- **Mailing address fax:** (334) 636-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/01/2016
- **Last updated:** 01/08/2019