Organization
GENERATIONS PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERIC MELTON (MEMBER/CEO)
(205) 540-1851
Entity
Organization
Contact information
Practice address
1050 CONVALESCENT RD, VERNON, AL 35592-4823
(205) 695-9313
Mailing address
PO BOX 362105, HOOVER, AL 35236-2105
(205) 540-1851
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F09170932
AL
Other
Enumeration date
01/05/2018
Last updated
03/17/2018
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