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Organization
MERCY FAMILY HEALTHCARE, INC
Active
Organization
MERCY FAMILY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAN IFEOMA AKWUBA DNP-CRNP (PRESIDENT)
(334) 239-7020
Entity
Organization
Contact information
Practice address
128 MITYLENE PARK DR., MONTGOMERY, AL 36117-3548
(334) 239-7020
(334) 239-7034
Mailing address
128 MITYLENE PARK DR., MONTGOMERY, AL 36117-3548
(334) 239-7020
(334) 239-7034
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-103472
AL
363LF0000X
Family Nurse Practitioner
1-103472
AL
Other
Enumeration date
05/03/2016
Last updated
11/09/2017
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