Organization
HEALTHCARE AUTHORITY OF ELBA INC
Active
Parent organization
HEALTHCARE AUTHORITY OF ELBA INC
Other names
Elba Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHCARE AUTHORITY OF ELBA INC
Authorized official
ELLEN C BRILEY RN (CEO)
(334) 897-2257
Entity
Organization
Contact information
Practice address
987 DRAYTON AVE, ELBA, AL 36323-1402
(334) 897-2257
Mailing address
987 DRAYTON AVE, ELBA, AL 36323-1402
(334) 897-2257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558300170
—
AL
Enumeration date
06/09/2008
Last updated
06/09/2008
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