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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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