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Organization

CENTERAL ALABAMA VETERANS HEALTH CARE SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TRACEY ELAINE THORNTON RD/LD (CLINICAL DIETITIAN)
(334) 272-4670
Entity
Organization

Contact information

Practice address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 272-4670
(334) 273-6227
Mailing address
850 WINGARD ST, PRATTVILLE, AL 36066-5828
(334) 365-1030

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
80
AL

Other

Enumeration date
09/08/2006
Last updated
08/22/2020
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