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Organization
MATERNITY SERVICES OF DISTRICT 11, LLC
Active
Organization
MATERNITY SERVICES OF DISTRICT 11, LLC
Active
Other names
Small Wonders Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM A. PRICE JR. CFO (VP FINANCE)
(334) 528-1313
Entity
Organization
Contact information
Practice address
1365 GATEWOOD DR, SUITE 525, AUBURN, AL 36830-2834
(334) 528-6832
(334) 826-0238
Mailing address
PO BOX 189, AUBURN, AL 36831-0189
(334) 528-6830
(334) 826-0238
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
11/01/2006
Last updated
02/01/2008
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