Organization
GOVE HILL MEMORIAL HOSPITAL, INC
Active
Other names
Southern Oak Psyc Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA P OVERSTREET (INSURANCE MANAGER)
(251) 275-4043
Entity
Organization
Contact information
Practice address
295 SOUTH JACKSON STREET, GROVE HILL, AL 36451-0935
(251) 275-3191
(251) 275-4281
Mailing address
P O BOX 935, GROVE HILL, AL 36451-0935
(251) 275-3191
(251) 275-4281
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
AL
Other
Enumeration date
05/07/2009
Last updated
06/21/2018
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