Organization
PRICARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE T JAMES RN (OFFICE MANAGER)
(256) 234-4131
Entity
Organization
Contact information
Practice address
44 ALIANT PKWY, ALEXANDER CITY, AL 35010-3426
(256) 234-4131
(256) 234-9979
Mailing address
44 ALIANT PKWY, ALEXANDER CITY, AL 35010-3426
(256) 234-4131
(256) 234-9979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529403920
—
AL
01
—
CC9812
RRMEDICARE
AL
Enumeration date
09/15/2006
Last updated
05/17/2021
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