Organization
RANBURNE COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE EDWARDS MOORE PHD (OWNER CEO)
(770) 258-7060
Entity
Organization
Contact information
Practice address
22931 MAIN ST, RANBURNE, AL 36273-4114
(256) 568-9646
(256) 568-9647
Mailing address
22931 MAIN ST, RANBURNE, AL 36273-4114
(256) 568-9646
(256) 568-9647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-092465
AL
Other
Enumeration date
05/14/2007
Last updated
12/31/2007
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