Organization
PICKENS COUNTY MEDICAL CENTER
Active
Other names
Paul D Lavender
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY P PRICE (DIRECTOR OF PHYSICIAN SERVICES)
(205) 367-8111
Entity
Organization
Contact information
Practice address
27340 HWY 86, GORDO, AL 35466
(205) 364-7135
(205) 364-2455
Mailing address
PO BOX 360, CARROLLTON, AL 35447-0360
(205) 364-7135
(205) 364-2455
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529922240
—
AL
Enumeration date
01/23/2007
Last updated
09/23/2008
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