Organization
LUVERNE HEALTH CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL PATRICK WALKER M.D. (PRESIDENT)
(334) 335-6515
Entity
Organization
Contact information
Practice address
39 ROY BEALL DR, LUVERNE, AL 36049-6805
(334) 335-6515
(334) 335-2105
Mailing address
PO BOX 407, LUVERNE, AL 36049-0407
(334) 335-6515
(334) 335-2105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6744
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000006567
—
AL
Enumeration date
05/28/2008
Last updated
05/28/2008
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