Education Avenue LLC

NPI #1417605585 in Section, Alabama

Provider Information

NPI Number
1417605585
Entity Type
Organization
Organization Name
Education Avenue LLC
Primary Specialty
Clinic/Center
Enumeration Date
Mar 16, 2022
Last Updated
May 16, 2022

Practice Location

Address
5375 TAMMY LITTLE DR STE 3
State
Alabama
ZIP Code
35771-7257
Phone
(256) 242-3261

Authorized Official

Name
MONICA PAYNE, PHARMD
Title
OWNER/AUTHORIZED OFFICIAL
Phone
(256) 228-7179

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center

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