Organization
ST. VINCENT'S ST. CLAIR, LLC
Active
Parent organization
ST. VINCENT'S ST. CLAIR, LLC
Other names
St. Vincent's St. Clair CRNA's
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. VINCENT'S ST. CLAIR, LLC
Authorized official
BRANDON WILLIAMS (CFO)
(205) 838-3718
Entity
Organization
Contact information
Practice address
2805 DR JOHN HAYNES DR, PELL CITY, AL 35125-1448
(205) 814-2104
Mailing address
2805 DR JOHN HAYNES DR, PELL CITY, AL 35125-1448
(205) 814-2104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529800500
—
AL
Enumeration date
03/15/2007
Last updated
09/06/2017
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