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Organization
MIZELL MEMORIAL HOSPITAL, INC
Active
Organization
MIZELL MEMORIAL HOSPITAL, INC
Active
Other names
Mizell Stat Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANA WYATT (CFO)
(334) 493-5790
Entity
Organization
Contact information
Practice address
702 N MAIN ST STE 2, OPP, AL 36467-1626
(334) 493-5704
(334) 493-9664
Mailing address
PO BOX 1010, OPP, AL 36467-1010
(334) 493-5704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/24/2024
Last updated
03/26/2024
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