Corizon Healthcare

NPI #1770020372 in Elmore, Alabama

Provider Information

NPI Number: 1770020372
Entity Type: Organization
Organization Name: Corizon Healthcare
Primary Specialty: Clinic/Center - Public Health, State or Local
Enumeration Date: Jan 21, 2017
Last Updated: Jan 21, 2017

Practice Location

Address: 2690 MARION SPILLWAY RD
City: Elmore
State: Alabama
ZIP Code: 36025-1531
Phone: (334) 567-2221

Authorized Official

Name: ANITA WILSON, M.D.
Title: PHYSICAN
Phone: (334) 207-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Public Health, State or Local — Public Health, State or Local	261QP0905X	Primary

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