Ivy Creek of Tallapoosa, LLC
NPI #1427773936 in Dadeville, Alabama
Provider Information
- NPI Number
- 1427773936
- Entity Type
- Organization
- Organization Name
- Ivy Creek of Tallapoosa, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 6, 2022
- Last Updated
- Oct 6, 2022
Practice Location
Authorized Official
- Name
- MICHAEL D BRUCE, CEO
- Title
- CEO / OWNER
- Phone
- (334) 567-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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