Organization
ISLAND MEDICAL PERSEUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY CHARLEY ESQ (CHIEF LEGAL OFFICER)
(240) 686-2300
Entity
Organization
Contact information
Practice address
1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2000
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(800) 405-0076
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
07/31/2020
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