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Organization

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

Active
Parent organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Authorized official
MRS. LYNN DIANNE ALFORD C.R.N.P. (NURSE PRACTITIONER)
(334) 281-6091
Entity
Organization

Contact information

Practice address
20 TECHNOLOGY CT., MARTHA C. MYERS F/P CLINIC, MONTGOMERY, AL 36116-3200
(334) 281-6091
(334) 284-5291
Mailing address
20 TECHNOLOGY CT., MARTHA C. MYERS F/P CLINIC, MONTGOMERY, AL 36116-3200
(334) 281-6091
(334) 284-5291

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-037102
AL

Other

Enumeration date
09/07/2010
Last updated
09/07/2010
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