Organization
MEDCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZZAN G. NELSON CRNP (OWNER)
(256) 267-0870
Entity
Organization
Contact information
Practice address
2060 CHEROKEE RD, ALEXANDER CITY, AL 35010-3439
(256) 267-0870
Mailing address
5519 HIGHWAY 22 E, ALEXANDER CITY, AL 35010-7035
(256) 267-0870
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
1-084184
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-084184
AL
Other
Enumeration date
03/11/2010
Last updated
06/22/2010
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