Organization
DCH PROVIDER SERVICES, LLC
Active
Other names
North Harbor Psychiatrists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CLAY CONVILLE (DIRECTOR, PHYSICIAN SERVICES)
(205) 759-6165
Entity
Organization
Contact information
Practice address
2700 HOSPITAL DR, NORTHPORT, AL 35476-3360
(205) 333-4655
(205) 333-4660
Mailing address
1110 DR EDWARD HILLARD DR STE A, TUSCALOOSA, AL 35401-7446
(205) 333-4661
(205) 333-4660
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127806
—
AL
Enumeration date
04/27/2011
Last updated
01/13/2021
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