Dr Keith Dismukes L.l.c.

NPI #1801161138 in Demopolis, Alabama

Provider Information

NPI Number
1801161138
Entity Type
Organization
Organization Name
Dr Keith Dismukes L.l.c.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 20, 2012
Last Updated
Mar 20, 2012

Practice Location

Address
202 US HIGHWAY 80 E
State
Alabama
ZIP Code
36732-3622
Phone
(334) 289-0499

Authorized Official

Name
MRS. LAURI ANNE CAMERON, RN
Title
ASST. OFFICE MANAGER
Phone
(334) 287-2584

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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