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Organization

ALLIANCE TELEHEALTH NETWORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA BARRETT GRAHAM RN (PRESIDENT)
(931) 787-2940
Entity
Organization

Contact information

Practice address
3001 E JACKSON ST STE A, PENSACOLA, FL 32503-6436
(931) 787-2940
Mailing address
40 W NINE MILE RD STE 2, PENSACOLA, FL 32534-1267
(931) 787-2940

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
04/26/2024
Last updated
04/30/2024
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