State of Alabama
NPI #1770753006 in Phenix City, Alabama
Provider Information
- NPI Number
- 1770753006
- 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
- 1003 25TH AVE
- City
- Phenix City
- State
- Alabama
- ZIP Code
- 36869-5349
- Phone
- (334) 214-5780
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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