| Corizon Healthcare | |
|
2690 Marion Spillway Rd Elmore AL 36025-1531 | |
| (334) 567-2221 | |
| Not Available |
| Full Name | Corizon Healthcare |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 2690 Marion Spillway Rd, Elmore, Alabama |
| Authorized Official Name and Position | Anita Wilson (PHYSICAN) |
| Authorized Official Contact | 3342079988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corizon Healthcare 2690 Marion Spillway Rd Elmore AL 36025-1531 Ph: (334) 567-2221 | Corizon Healthcare 2690 Marion Spillway Rd Elmore AL 36025-1531 Ph: (334) 567-2221 |
| NPI Number | 1770020372 |
|---|---|
| Provider Enumeration Date | 01/21/2017 |
| Last Update Date | 01/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770020372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 1-107743 (Alabama) | Primary |