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Organization

STV CHILTON CARDIOLOGY CLINIC LLC

Active
Parent organization
VINCENTIAN VENTURES OF NORTH ALABAMA
Organization subpart
Yes

Provider details

NPI number
Legal business name
VINCENTIAN VENTURES OF NORTH ALABAMA
Authorized official
BRANDON WILLIAMS (CFO)
(205) 838-3766
Entity
Organization

Contact information

Practice address
2030 LAY DAM RD, CLANTON, AL 35045-8344
(205) 930-2157
Mailing address
50 MEDICAL PARK DR E, SUITE 310, FINANCE, BIRMINGHAM, AL 35235-3401

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
09/07/2016
Last updated
09/06/2017
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