State of Alabama

NPI #1740450022 in Chatom, Alabama

Provider Information

NPI Number
1740450022
Entity Type
Organization
Organization Name
State of Alabama
Primary Specialty
Public Health or Welfare
Enumeration Date
Mar 3, 2008
Last Updated
Mar 3, 2008

Practice Location

Address
712 ST STEPHENS AVE
City
Chatom
State
Alabama
ZIP Code
36518-0600
Phone
(251) 847-6100

Authorized Official

Name
MR. PARRIS L CORLEY
Title
DEPUTY COMMISSIONER FISCAL & ADMIN
Phone
(334) 242-8395

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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