Organization
ELBERTA CLINIC, PC
Active
Other names
Elberta Family Practice Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY A. KURTTS M.D. (OWNER)
(251) 986-7301
Entity
Organization
Contact information
Practice address
24980 STATE ST, PO DRAWER 519, ELBERTA, AL 36530-2573
(251) 986-7301
(251) 986-5927
Mailing address
24980 STATE ST, PO DRAWER 519, ELBERTA, AL 36530-2573
(251) 986-7301
(251) 986-5927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529500390
—
AL
01
—
BCBS
BLUE CROSS BLUE SHIELD AL
AL
01
—
CN3899
RAILROAD MEDICARE
AL
Enumeration date
10/11/2006
Last updated
02/20/2020
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