Crenshaw Family Care Center, LLC

NPI #1194092478 in Luverne, Alabama

Provider Information

NPI Number: 1194092478
Entity Type: Organization
Organization Name: Crenshaw Family Care Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CRENSHAW FAMILY CARE CENTER LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 30, 2011
Last Updated: Jun 7, 2012

Practice Location

Address: 58 ROY BEALL DR
City: Luverne
State: Alabama
ZIP Code: 36049-6800
Phone: (334) 335-1212

Authorized Official

Name: VICKI F LAWRENSON
Title: COO
Phone: (334) 386-0343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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