Organization
LISTER HEALTH CARE CORPORATION
Active
Other names
Ardmore Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA CHASE (CREDENTIALING AGENT)
(256) 767-7494
Entity
Organization
Contact information
Practice address
30320 AL HIGHWAY 53 STE B&C, ARDMORE, AL 35739-8766
(256) 423-4800
(256) 423-8448
Mailing address
PO BOX 298, FLORENCE, AL 35631-0298
(256) 767-7494
(256) 760-8432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
10/06/2020
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