# HEALTHCARE AUTHORITY OF ELBA, AL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lance K. Dyess, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972653210
- **Authorized official:** ELLEN C BRILEY RN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (334) 897-2257

## Contact information

- **Practice address:** 918 DRAYTON AVE, ELBA, AL 36323-1448
- **Practice address phone:** (334) 897-2207
- **Practice address fax:** (334) 897-3476
- **Mailing address:** 918 DRAYTON AVE, ELBA, AL 36323-1448
- **Mailing address phone:** (334) 897-2207
- **Mailing address fax:** (334) 897-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10790 | AL | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 12/30/2011