Organization · Type 2 NPI
The Healthcare Authority of Elba Alabama
Primary Care Clinic/Center · Elba, AL
NPI number
1629114590
Active
Practice location
980 Drayton Ave
Elba, AL 36323-1404
Fax (334) 897-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD 21731 (AL) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Elba
About NPI 1629114590
The Healthcare Authority of Elba Alabama's National Provider Identifier is 1629114590, issued on Jan 29, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Elba, AL. The record was last updated on Mar 21, 2012.