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Organization

IMC-EASTERN SHORE ADULT MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY PALAZZO (VICE PRESIDENT OF FINANCE)
(251) 435-1361
Entity
Organization

Contact information

Practice address
300 GREENO RD S, SUITE B, FAIRHOPE, AL 36532-1905
(251) 929-3424
(251) 929-3430
Mailing address
300 GREENO RD S, SUITE B, FAIRHOPE, AL 36532-1905
(251) 929-3424
(251) 929-3430

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RP1001X
Pulmonary Disease Physician

Other

Enumeration date
11/07/2011
Last updated
11/01/2019
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