Organization · Type 2 NPI
Ivy Creek Family Care of Lake Martin
Urgent Care Clinic/Center · Dadeville, AL
NPI number
1609572890
Active
Practice location
5958 Highway 49 S Unit K
Dadeville, AL 36853-6771
Mailing address
PO Box 130
Wetumpka, AL 36092-0003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Urgent Care Clinic/Center Primary | 261QU0200X | None listed |
Urgent Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1609572890
Ivy Creek Family Care of Lake Martin's National Provider Identifier is 1609572890, issued on Jan 31, 2023. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Dadeville, AL. The record was last updated on Mar 20, 2025.