Evergreen Medical Center, LLC

NPI #1619559812 in Georgiana, Alabama

Provider Information

NPI Number: 1619559812
Entity Type: Organization
Organization Name: Evergreen Medical Center, LLC
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Apr 27, 2021
Last Updated: Apr 27, 2021

Practice Location

Address: 225 PATTERSON AVE # A
City: Georgiana
State: Alabama
ZIP Code: 36033-6628
Phone: (251) 578-2480

Authorized Official

Name: MELISSA DIANE DUNN
Title: CHIEF OPERATIONS OFFICER
Phone: (251) 578-2480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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