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Organization
PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A
Active
Organization
PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDI FAULK (VP OF BILLING OPERATIONS)
(678) 679-6471
Entity
Organization
Contact information
Practice address
4441 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 332-4246
Mailing address
590 LANIER AVE W, FAYETTEVILLE, GA 30214-1504
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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