Organization
DCH PROVIDER SERVICES, LLC
Active
Other names
DCH Primary Care Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CLAY CONVILLE (CORP DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization
Contact information
Practice address
701 UNIVERSITY BLVD E STE 211, TUSCALOOSA, AL 35401-7431
(205) 759-6165
Mailing address
3901 GREENSBORO AVE STE A, TUSCALOOSA, AL 35405-3771
(205) 759-6165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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