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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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