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Organization
ST CLAIR CLINIC
Active
Organization
ST CLAIR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYSON DAUGHERTY DO (OWNER)
(205) 444-9550
Entity
Organization
Contact information
Practice address
12 CROPWELL DR, PELL CITY, AL 35128-7552
(205) 814-0404
Mailing address
151 NARROWS PKWY, BIRMINGHAM, AL 35242-8637
(205) 444-9550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13722
AL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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