Organization
SOUTHERN CARE INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L ILLESCAS MD (OWNER)
(205) 547-2323
Entity
Organization
Contact information
Practice address
10 MEADOWVIEW DR, HOOVER, AL 35242-7700
(205) 547-2323
(205) 995-0955
Mailing address
10 MEADOWVIEW DR, HOOVER, AL 35242-7700
(205) 547-2323
(205) 995-0955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
10/06/2023
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