Imc-Eastern Shore Family Practice LLC

NPI #1235659319 in Daphne, Alabama

Provider Information

NPI Number
1235659319
Entity Type
Organization
Organization Name
Imc-Eastern Shore Family Practice LLC
Primary Specialty
Family Medicine
Enumeration Date
Jun 21, 2017
Last Updated
Jun 21, 2017

Practice Location

Address
27961 HIGHWAY 98
Address 2
SUITE 14
City
Daphne
State
Alabama
ZIP Code
36526
Phone
(251) 626-1175

Authorized Official

Name
MR. ANTHONY PALAZZO
Title
VICE PRESIDENT OF FINANCE
Phone
(251) 435-1361

Specialties & Taxonomy Codes

Specialty
Family Medicine

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