Organization
MIZELL MEMORIAL HOSPITAL, INC.
Active
Other names
Mizell Memorial Hospitalist Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANA WYATT (CEO / CFO)
(334) 493-9111
Entity
Organization
Contact information
Practice address
702 N MAIN ST, OPP, AL 36467-1626
(334) 493-3541
(334) 493-9664
Mailing address
PO BOX 1010, OPP, AL 36467-1010
(334) 493-3541
(334) 493-9664
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
12/24/2019
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