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Organization

INFIRMARY ASC - FAIRHOPE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA EVANS (RVP OF OPS)
(614) 374-6496
Entity
Organization

Contact information

Practice address
411 N SECTION ST, FAIRHOPE, AL 36532-2649
(614) 374-6496
Mailing address
7110 CROSSWOODS BLVD, SUITE 100, BRENTWOOD, TN 37027
(615) 550-2600

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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