Organization
SUN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORTUNATE E OVBIAGELE M.D. (OWNER)
(334) 356-5931
Entity
Organization
Contact information
Practice address
3576 QUAD PKWY, MONTGOMERY, AL 36116-6750
(334) 356-5931
Mailing address
3576 QUAD PKWY, MONTGOMERY, AL 36116-6750
(334) 356-5931
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
22241
AL
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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