Organization
THE VILLAGE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BRABON CPC, CMOM (OFFICE MANAGER)
(256) 881-1616
Entity
Organization
Contact information
Practice address
2103 DRAKE AVE SW, HUNTSVILLE, AL 35805-5107
(256) 881-1616
(256) 882-5322
Mailing address
2103 DRAKE AVE SW, HUNTSVILLE, AL 35805-5107
(256) 881-1616
(256) 882-5322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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