# ELBERTA CLINIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elberta Family Practice Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588752844
- **Authorized official:** DR. TERRY A. KURTTS M.D. (OWNER)
- **Authorized official phone:** (251) 986-7301

## Contact information

- **Practice address:** 24980 STATE ST, PO DRAWER 519, ELBERTA, AL 36530-2573
- **Practice address phone:** (251) 986-7301
- **Practice address fax:** (251) 986-5927
- **Mailing address:** 24980 STATE ST, PO DRAWER 519, ELBERTA, AL 36530-2573
- **Mailing address phone:** (251) 986-7301
- **Mailing address fax:** (251) 986-5927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 02/20/2020