Organization
LILLIAN MEDICAL CLINIC, PC
Active
Organization
LILLIAN MEDICAL CLINIC, PC
Active
Other names
LILLIAN CONVENIENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADCLIFFE J COYLE M.D., M.P.H. (DR. / OWNER)
(251) 962-4362
Entity
Organization
Contact information
Practice address
34463 US HIGHWAY 98, LILLIAN, AL 36549-4049
(251) 962-4362
(251) 962-4363
Mailing address
PO BOX 389, LILLIAN, AL 36549-0389
(251) 962-4362
(251) 962-4363
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6346
AL
Other
Enumeration date
03/11/2008
Last updated
04/08/2008
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