Organization
CORIZON HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA WILSON M.D. (PHYSICAN)
(334) 207-9988
Entity
Organization
Contact information
Practice address
2690 MARION SPILLWAY RD, ELMORE, AL 36025-1531
(334) 567-2221
Mailing address
2690 MARION SPILLWAY RD, ELMORE, AL 36025-1531
(334) 567-2221
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
1-107743
AL
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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