Andalusia Medical Center, LLC

NPI #1831479781 in Opp, Alabama

Provider Information

NPI Number: 1831479781
Entity Type: Organization
Organization Name: Andalusia Medical Center, LLC
Primary Specialty: General Practice
Enumeration Date: Aug 24, 2011
Last Updated: Dec 29, 2014

Practice Location

Address: 1800 US HWY 84 WEST
City: Opp
State: Alabama
ZIP Code: 36467-3520
Phone: (334) 493-4357

Authorized Official

Name: MR. KEVIN RAY DIEL, M.D.
Title: M.D./OWNER
Phone: (334) 493-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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