Organization
ELIXIR HEALTH DIRECT PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL WILLIS DNP (OWNER)
(205) 606-4273
Entity
Organization
Contact information
Practice address
84 CROPWELL DR, PELL CITY, AL 35128-7552
(205) 606-4273
(205) 751-9639
Mailing address
84 CROPWELL DR, PELL CITY, AL 35128-7552
(205) 606-4273
(205) 751-9639
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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