Evergreen Medical Center LLC

NPI #1891904223 in Evergreen, Alabama

Provider Information

NPI Number: 1891904223
Entity Type: Organization
Organization Name: Evergreen Medical Center LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EVERGREEN MEDICAL CENTER LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 22, 2007
Last Updated: Apr 20, 2010

Practice Location

Address: 106 EDWINA ST
City: Evergreen
State: Alabama
ZIP Code: 36401-3319
Phone: (251) 578-4300

Authorized Official

Name: MRS. SHARON JONES
Title: CHIEF FINANCIAL OFFICER
Phone: (251) 578-2480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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