Organization
ISLAND MEDICAL RED BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WOLF (VP OF FINANCE)
(330) 656-5911
Entity
Organization
Contact information
Practice address
211 HOSPITAL RD, RED BAY, AL 35582-3858
(256) 356-8160
Mailing address
PO BOX 92974, CLEVELAND, OH 44194-2974
(877) 716-2447
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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