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252 Stoneykirk Way Pelham AL 35124-6258 | |
| (205) 200-7703 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 252 Stoneykirk Way, Pelham, Alabama |
| Authorized Official Name and Position | Lashandra Kirkman (OWNER) |
| Authorized Official Contact | 2052007703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
252 Stoneykirk Way Pelham AL 35124-6258 Ph: (205) 200-7703 | 252 Stoneykirk Way Pelham AL 35124-6258 Ph: (205) 200-7703 |
| NPI Number | 1962244459 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962244459 | NPI | - | NPPES |
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