Organization
DCH PROVIDER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CLAY CONVILLE (DIRECTOR, PHYSICIAN SERVICES)
(205) 333-4528
Entity
Organization
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401
(205) 333-4528
Mailing address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401
(205) 333-4528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
03/17/2018
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