Organization
CARDIAC INSTITUTE OF SOUTH ALABAMA, LLC
Active
Organization
CARDIAC INSTITUTE OF SOUTH ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MASHAWN DENISE HUNTER (OFFICE MANAGER)
(334) 526-2200
Entity
Organization
Contact information
Practice address
101 PARK PL, SELMA, AL 36701-6764
(334) 526-2200
(334) 526-2220
Mailing address
101 PARK PL, SELMA, AL 36701-6764
(334) 526-2200
(334) 526-2220
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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