Organization
MIZELL MEMORIAL HOSPITAL, INC
Active
Other names
Mizell Stat Care
Organization subpart
No
Provider details
NPI number
Authorized official
JANA WYATT (CFO)
(334) 493-5790
Entity
Organization
Contact information
Practice address
702 N MAIN ST STE 2, OPP, AL 36467-1626
(334) 493-5704
(334) 493-9664
Mailing address
PO BOX 1010, OPP, AL 36467-1010
(334) 493-5704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
03/26/2024
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