Organization
MIZELL MEMORIAL HOSPITAL, INC.
Active
Parent organization
MIZELL MEMORIAL HOSPITAL, INC.
Other names
Elba Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIZELL MEMORIAL HOSPITAL, INC.
Authorized official
JANA WYATT (CFO)
(334) 493-5790
Entity
Organization
Contact information
Practice address
918 DRAYTON AVE, ELBA, AL 36323-1448
(334) 493-5713
Mailing address
PO BOX 1010, OPP, AL 36467-1010
(334) 493-5713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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