Coosa Valley - Aristo Er, LLC

NPI #1720524689 in Sylacauga, Alabama

Provider Information

NPI Number: 1720524689
Entity Type: Organization
Organization Name: Coosa Valley - Aristo Er, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ARISTO ER
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 16, 2017
Last Updated: Jan 16, 2017

Practice Location

Address: 315 W HICKORY ST
City: Sylacauga
State: Alabama
ZIP Code: 35150-2913
Phone: (256) 401-4000

Authorized Official

Name: MR. CHARLES RICH STREET JR.
Title: CEO/OWNER
Phone: (205) 313-5202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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