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Organization
LISTER HEALTH CARE CORPORATION
Active
Organization
LISTER HEALTH CARE CORPORATION
Active
Other names
Ardmore Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA CHASE (CREDENTIALING AGENT)
(256) 767-7494
Entity
Organization
Contact information
Practice address
30320 AL HIGHWAY 53 STE B&C, ARDMORE, AL 35739-8766
(256) 423-4800
(256) 423-8448
Mailing address
PO BOX 298, FLORENCE, AL 35631-0298
(256) 767-7494
(256) 760-8432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
10/06/2020
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