Organization
PHENIX CITY CONVENIENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNETTE POPE-OZIMBA DDS (OWNER)
(229) 395-6869
Entity
Organization
Contact information
Practice address
600 16TH ST, SUITE A, PHENIX CITY, AL 36867-5005
(334) 384-1600
(334) 384-1599
Mailing address
1904 ST ANDREWS WAY, PHENIX CITY, AL 36867-7406
(229) 395-6869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20168
AL
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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