Organization · Type 2 NPI

Ivy Creek Family Care of Enterprise

Primary Care Clinic/Center · Enterprise, AL

NPI number 1972317741 Active

Practice location

6582 Boll Weevil Cir Ste B
Enterprise, AL 36330-9424

Fax (334) 347-2299

Mailing address

PO Box 130
Wetumpka, AL 36092-0003

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1972317741

Ivy Creek Family Care of Enterprise's National Provider Identifier is 1972317741, issued on Feb 3, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Enterprise, AL. The record was last updated on Mar 4, 2025.