Organization
EVERGREEN MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DIANE DUNN (CHIEF OPERATIONS OFFICER)
(251) 578-2480
Entity
Organization
Contact information
Practice address
225 PATTERSON AVE # A, GEORGIANA, AL 36033-6628
(251) 578-2480
Mailing address
PO BOX 706, EVERGREEN, AL 36401-0706
(251) 578-2480
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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