# PRACTICE-MONROEVILLE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care Center of Monroeville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972606531
- **Authorized official:** JACKIE WRIGHT (OFFICE MANAGER)
- **Authorized official phone:** (251) 575-5988

## Contact information

- **Practice address:** 1075 DREWRY RD, SUITE B, MONROEVILLE, AL 36460
- **Practice address phone:** (251) 575-5988
- **Practice address fax:** (251) 575-5970
- **Mailing address:** 1075 DREWRY RD, SUITE B, MONROEVILLE, AL 36460
- **Mailing address phone:** (251) 575-5988
- **Mailing address fax:** (251) 575-5970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 11/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529911320 | — | AL |