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Organization

EAST ALABAMA MEDICAL CENTER PRENATAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA C VINCENT (MANAGER - PRENATAL CLINIC)
(334) 528-5974
Entity
Organization

Contact information

Practice address
2000 WAVERLY PKWY, OPELIKA, AL 36801-4739
(334) 528-5971
(334) 741-8278
Mailing address
2000 WAVERLY PKWY, OPELIKA, AL 36801-4739
(334) 528-5971
(334) 741-8278

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010029
BLUE CROSS - BLUE SHIELD
AL
Enumeration date
01/18/2007
Last updated
08/22/2020
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