Canebrake Medical Management

NPI #1821380866 in Demopolis, Alabama

Provider Information

NPI Number: 1821380866
Entity Type: Organization
Organization Name: Canebrake Medical Management
Primary Specialty: Family Medicine
Enumeration Date: May 10, 2011
Last Updated: Oct 14, 2011

Practice Location

Address: 123 E CAPITOL ST
City: Demopolis
State: Alabama
ZIP Code: 36732-2218
Phone: (334) 289-9408

Authorized Official

Name: MRS. TERRE M. MOORE, CRNP
Title: CRNP
Phone: (334) 289-9408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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