Organization
ANDALUSIA MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RAY DIEL M.D. (M.D./OWNER)
(334) 493-4357
Entity
Organization
Contact information
Practice address
1800 US HWY 84 WEST, OPP, AL 36467-3520
(334) 493-4357
(334) 222-3825
Mailing address
1800 US HWY 84 WEST, OPP, AL 36467-3520
(334) 493-4357
(334) 222-3825
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
12/29/2014
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