Organization
GULF COAST MEDICAL EVALUATION CENTER
Active
Other names
Hometown Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
KARON DAVIS RN (BUSINESS MANAGER)
(251) 610-1619
Entity
Organization
Contact information
Practice address
3851 ILLINOIS ST, ORANGE BEACH, AL 36561-3518
(251) 610-1619
Mailing address
22765 HIGHWAY 59, ROBERTSDALE, AL 36567
(251) 947-2320
(251) 947-2321
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
8254
AL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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