Organization
IMC EASTERN SHORE WOMEN'S HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1361
Entity
Organization
Contact information
Practice address
188 HOSPITAL DR STE 202, FAIRHOPE, AL 36532-2038
(251) 279-3794
Mailing address
188 HOSPITAL DR STE 202, FAIRHOPE, AL 36532-2038
(251) 279-3794
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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