Organization
CLANTON INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN COOK (OFFICE MANAGER)
(205) 755-3500
Entity
Organization
Contact information
Practice address
1008 LAY DAM RD, CLANTON, AL 35045-2306
(205) 755-3500
(205) 280-3348
Mailing address
1008 LAY DAM RD, CLANTON, AL 35045-2306
(205) 755-3500
(205) 280-3348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16833
AL
207R00000X
Internal Medicine Physician
20673
AL
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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