Organization
CARE NETWORK OF EAST ALABAMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. LISENBY M.D. (VICE CHAIRMAN OF THE BOARD)
(334) 528-5981
Entity
Organization
Contact information
Practice address
1365 GATEWOOD DR, SUITE 521, AUBURN, AL 36830-2834
(334) 528-5867
(334) 528-1195
Mailing address
1365 GATEWOOD DR, SUITE 521, AUBURN, AL 36830-2834
(334) 528-5867
(334) 528-1195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999
MISCELLANEOUS PROVIDER
AL
Enumeration date
05/06/2011
Last updated
05/26/2011
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