Organization
604 MEDICAL CENTER PC
Active
Other names
Monroeville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE WATERS (OFFICE MANAGER)
(251) 575-3266
Entity
Organization
Contact information
Practice address
16 MEDICAL CENTER DRIVE, MONROEVILLE, AL 36460
(251) 575-3266
(251) 575-3262
Mailing address
16 MEDICAL CENTER DRIVE, MONROEVILLE, AL 36460
(251) 575-3266
(251) 575-3262
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529911320
—
AL
Enumeration date
06/20/2006
Last updated
07/01/2008
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