Organization
IMMH SCOTTSBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY CHARLEY ESQ (CHIEF LEGAL OFFICE)
(240) 686-2300
Entity
Organization
Contact information
Practice address
380 WOODS COVE RD, SCOTTSBORO, AL 35768-2428
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019
(330) 492-8489
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
02/24/2023
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