Organization
CLOVERDALE ROAD FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN LEONARD (CONTROLLER)
(256) 386-4673
Entity
Organization
Contact information
Practice address
3502 CLOVERDALE RD, FLORENCE, AL 35633-1302
(256) 764-1263
(256) 764-9611
Mailing address
PO BOX 895, SHEFFIELD, AL 35660-0895
(256) 764-1263
(256) 764-9611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8871
AL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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