Evergreen Medical Center LLC

NPI #1356695886 in Evergreen, Alabama

Provider Information

NPI Number: 1356695886
Entity Type: Organization
Organization Name: Evergreen Medical Center LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 6, 2012
Last Updated: Nov 6, 2012

Practice Location

Address: 100 EDWINA STREET
City: Evergreen
State: Alabama
ZIP Code: 36401-3319
Phone: (251) 578-0278

Authorized Official

Name: MR. JAMES POWELL
Title: OFFICE MANAGER
Phone: (251) 578-0278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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