Ivy Creek of Butler, LLC

NPI #1629413745 in Georgiana, Alabama

Provider Information

NPI Number: 1629413745
Entity Type: Organization
Organization Name: Ivy Creek of Butler, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: May 2, 2013
Last Updated: May 2, 2013

Practice Location

Address: 515 N MIRANDA AVE
City: Georgiana
State: Alabama
ZIP Code: 36033-4519
Phone: (334) 376-2205

Authorized Official

Name: MR. MICHAEL D BRUCE
Title: CEO
Phone: (334) 376-2963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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