Organization
SOUTHEAST ALABAMA REGIONAL HEALTHCARE AUTHORITY
Active
Other names
Eufaula Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA WALTERS (BUSINESS OFFICE DIRECTOR)
(334) 688-7128
Entity
Organization
Contact information
Practice address
617B E BROAD ST, EUFAULA, AL 36027-1710
(334) 688-7128
(334) 688-7127
Mailing address
820 W WASHINGTON ST, EUFAULA, AL 36027-1822
(334) 688-7127
(334) 688-7127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-10198
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-100198
TEMPORARY LICENSES #
AL
Enumeration date
07/01/2015
Last updated
07/01/2015
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