Organization
UCHEE PINES LIFESTYLE CENTER
Active
Other names
Anvwodi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES IRWIN HORSLEY M.D. (MEDICAL DIRECTOR)
(334) 855-4764
Entity
Organization
Contact information
Practice address
30 UCHEE PINES RD, LOT 75, SEALE, AL 36875-5726
(334) 855-4763
(334) 855-9014
Mailing address
30 UCHEE PINES ROAD, #75, SEALE, AL 36875-5715
(334) 855-4763
(334) 855-9014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00019762
AL
174400000X
Specialist
007539
GA
174400000X
Specialist
025873
GA
174400000X
Specialist
04837
GA
174400000X
Specialist
4123
AL
Other
Enumeration date
05/23/2005
Last updated
08/22/2020
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