Organization
IVY CREEK OF ELMORE LLC
Active
Other names
IVY CREEK INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GAYLE DOZIER-MCCORMICK (BILLING MANAGER)
(334) 514-3848
Entity
Organization
Contact information
Practice address
807 JACKSON TRACE RD, WETUMPKA, AL 36092-1504
(334) 358-3777
Mailing address
807 JACKSON TRACE RD, WETUMPKA, AL 36092-1504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
03/29/2018
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