Organization
DR KEITH DISMUKES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURI ANNE CAMERON RN (ASST. OFFICE MANAGER)
(334) 287-2584
Entity
Organization
Contact information
Practice address
202 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3622
(334) 289-0499
(334) 289-3013
Mailing address
PO BOX 650, P.O. BOX 650, DEMOPOLIS, AL 36732-0650
(334) 289-0499
(334) 289-3013
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AD7121724
AL
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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