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Organization

COOSA VALLEY - ARISTO ER, LLC

Active
Parent organization
ARISTO ER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARISTO ER
Authorized official
MR. CHARLES RICH STREET JR. (CEO/OWNER)
(205) 313-5202
Entity
Organization

Contact information

Practice address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4000
Mailing address
PO BOX 830525, DEPT SF69, BIRMINGHAM, AL 35283-0525

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
01/16/2017
Last updated
01/16/2017
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