Organization
IVY CREEK OF ELMORE, LLC
Active
Parent organization
IVY CREEK OF ELMORE, LLC
Other names
d/b/a England's Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
IVY CREEK OF ELMORE, LLC
Authorized official
JAMES G FAULK (CEO)
(334) 567-4311
Entity
Organization
Contact information
Practice address
500 HOSPITAL DR, SUITE B, WETUMPKA, AL 36092-1625
(334) 567-4311
(334) 567-4312
Mailing address
500 HOSPITAL DR, SUITE B, WETUMPKA, AL 36092-1625
(334) 567-4311
(334) 567-4312
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
09/22/2010
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