Organization
GREENHILL FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE E WAMPLER MD (PRESIDENT)
(256) 272-8066
Entity
Organization
Contact information
Practice address
351 HIGHWAY 64, KILLEN, AL 35645
(256) 272-8066
(256) 272-8375
Mailing address
351 HIGHWAY 64, KILLEN, AL 35645
(256) 272-8066
(256) 272-8375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529931670
—
AL
01
—
612248600
DEPARTMENT OF LABOR
FL
01
—
DF5641
MEDICARE RAILROAD
SC
Enumeration date
12/27/2006
Last updated
06/11/2013
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