Ivy Creek of Elmore LLC

NPI #1811421886 in Wetumpka, Alabama

Provider Information

NPI Number: 1811421886
Entity Type: Organization
Organization Name: Ivy Creek of Elmore LLC
Primary Specialty: Surgery
Enumeration Date: Apr 17, 2017
Last Updated: Apr 17, 2017

Practice Location

Address: 515 HOSPITAL DR
Address 2: SUITE A
City: Wetumpka
State: Alabama
ZIP Code: 36092-1626
Phone: (334) 514-3688

Authorized Official

Name: MICHAEL RITZUS
Title: ADMINISTRATOR
Phone: (334) 567-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Organizations

Provider Name	Specialty	City
Ivy Creek of Elmore, LLC Part of Ivy Creek of Elmore, LLC	Surgery	Wetumpka	AI Deep Dive

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