Organization
BULLOCK IMMEDIATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA FRANCIS LAWRENSON (MANAGING PARTNER)
(334) 386-0343
Entity
Organization
Contact information
Practice address
5303 VAUGHN ROAD, MONTGOMERY, AL 36116-1120
(334) 386-0343
(334) 386-0382
Mailing address
5303 VAUGHN ROAD, MONTGOMERY, AL 36116-1120
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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