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Mcrae Prostate Cancer Awareness Foundation

NPI #1144598772 in Tuskegee, Alabama

Provider Information

NPI Number
1144598772
Entity Type
Organization
Organization Name
Mcrae Prostate Cancer Awareness Foundation
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Dec 10, 2011
Last Updated
Dec 10, 2011

Practice Location

Address
503 W MLK HWY
City
Tuskegee
State
Alabama
ZIP Code
36083-2142
Phone
(334) 226-1177

Authorized Official

Name
MR. LAWRENCE W MCRAE SR.
Title
EXECUTIVE DIRECTOR
Phone
(334) 226-1177

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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