Organization
SOUTH CENTRAL MEDICAL CENTER, P.C.
Active
Organization
SOUTH CENTRAL MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX ALLEN BUTLER M.D. (PRESIDENT)
(334) 222-8525
Entity
Organization
Contact information
Practice address
843 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
(334) 222-8525
(334) 222-3469
Mailing address
843 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
(334) 222-8525
(334) 222-3469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00009991
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-10420
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
06/04/2007
Last updated
08/22/2020
Update your record
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