Organization
MEDICAL EAST OF DECATUR INC
Active
Organization
MEDICAL EAST OF DECATUR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE S GRAHAM FNP-C (CLINICAL DIRECTOR)
(256) 432-2822
Entity
Organization
Contact information
Practice address
2941 POINT MALLARD PKWY SE, STE N, DECATUR, AL 35603-5716
(256) 432-2822
(256) 432-2825
Mailing address
2941 POINT MALLARD PKWY SE STE N, DECATUR, AL 35603-5760
(256) 432-2822
(256) 432-2825
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
1105407
AL
Other
Enumeration date
01/14/2009
Last updated
05/23/2023
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