Organization
ISLAND MEDICAL ATHENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN DE LA PRIDA (CFO)
(631) 514-7600
Entity
Organization
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 233-9292
Mailing address
PO BOX 74595, CLEVELAND, OH 44194-0002
(330) 656-5911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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