St Vincents St Clair LLC

NPI #1780671495 in Pell City, Alabama

Provider Information

NPI Number: 1780671495
Entity Type: Organization
Organization Name: St Vincents St Clair LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ST VINCENTS ST CLAIR LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Sep 29, 2005
Last Updated: Sep 6, 2017

Practice Location

Address: 2805 DR JOHN HAYNES DR
City: Pell City
State: Alabama
ZIP Code: 35125-1448
Phone: (205) 814-2104

Authorized Official

Name: BRANDON WILLIAMS
Title: CFO
Phone: (205) 814-2104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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