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Organization
STONESTAR HEALTH LLC
Active
Organization
STONESTAR HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS DERAMUS (CEO)
(334) 538-9853
Entity
Organization
Contact information
Practice address
131 MARKET PL, MONTGOMERY, AL 36117-4900
(334) 538-9853
Mailing address
131 MARKET PL, MONTGOMERY, AL 36117-4900
(334) 538-9853
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QV0200X
VA Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
03/27/2023
Last updated
06/15/2023
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