Organization
WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
Active
Organization
WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
Active
Other names
Millry Pediatric Clinic LLC, Millry Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY JEAN DUNN (CHIEF OPERATING OFFICER)
(251) 847-2223
Entity
Organization
Contact information
Practice address
73 LONG STREET, MILLRY, AL 36558
(251) 846-3233
(251) 846-3224
Mailing address
PO BOX 1299, CHATOM, AL 36518-1299
(251) 847-2223
(251) 847-3808
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136193
—
AL
05
—
137591
—
AL
Enumeration date
10/26/2011
Last updated
04/09/2025
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