Organization
CRENSHAW FAMILY CARE CENTER, LLC
Active
Parent organization
CRENSHAW FAMILY CARE CENTER LLC
Other names
Crenshaw Family Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRENSHAW FAMILY CARE CENTER LLC
Authorized official
VICKI F LAWRENSON (COO)
(334) 386-0343
Entity
Organization
Contact information
Practice address
58 ROY BEALL DR, LUVERNE, AL 36049-6800
(334) 335-1212
(334) 335-1217
Mailing address
PO BOX 5013, MONTGOMERY, AL 36103-5013
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/30/2011
Last updated
06/07/2012
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