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Organization

CENTRE CLINIC CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOPHIA ARWOOD (DIRECTOR; AUTHORIZED OFFICIAL)
(615) 221-1400
Entity
Organization

Contact information

Practice address
395 NORTHWOOD DR, CENTRE, AL 35960-1045
(256) 927-4900
(256) 927-9151
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-1400
(615) 221-1484

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529928970
AL
Enumeration date
05/22/2006
Last updated
04/30/2018
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