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Organization
IVY CREEK HEALTHCARE
Active
Organization
IVY CREEK HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNAH JANE MOON CRNP (NURSE PRACTITIONER)
(205) 585-3315
Entity
Organization
Contact information
Practice address
1210 7TH ST S, CLANTON, AL 35045-3724
(205) 280-0620
Mailing address
1210 7TH ST S, CLANTON, AL 35045-3724
(205) 280-0620
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
1-140246
AL
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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