Organization
FAMILY HEALTH CLINIC OF UNION SPRINGS, INC.
Active
Organization
FAMILY HEALTH CLINIC OF UNION SPRINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MCMILLAN HOLDER CRNP (PRESIDENT/ ADMINISTRATOR)
(334) 473-8795
Entity
Organization
Contact information
Practice address
309 PRAIRIE ST NORTH, UNION SPRINGS, AL 36089-1418
(334) 782-8824
(334) 408-4681
Mailing address
309 PRAIRIE ST NORTH, UNION SPRINGS, AL 36089-1418
(334) 738-2146
(334) 408-4681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26270
AL
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
1-031812
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138855
—
AL
05
—
529932739
—
AL
Enumeration date
05/18/2007
Last updated
10/11/2018
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