Organization
PREVENTIVE CARE MEDICAL GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY LESSA MD (PHYSICIAN)
(256) 362-0066
Entity
Organization
Contact information
Practice address
210 NORTH ST W, SUITE C, TALLADEGA, AL 35160-2083
(256) 362-0066
Mailing address
210 NORTH ST W, SUITE C, TALLADEGA, AL 35160-2083
(256) 362-0066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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