Ivy Creek Family Care of Lake Martin
NPI #1609572890 in Dadeville, Alabama
Provider Information
- NPI Number
- 1609572890
- Entity Type
- Organization
- Organization Name
- Ivy Creek Family Care of Lake Martin
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Jan 31, 2023
- Last Updated
- Mar 20, 2025
Practice Location
Authorized Official
- Name
- JADE LANE
- Title
- CREDENTIALING MANAGER
- Phone
- (334) 567-4311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Urgent Care — Urgent Care |
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