| Chatom Primary Care Pc | |
|
75 5th Avenue Millry AL 36558-0000 | |
| (251) 847-6262 | |
| Not Available |
| Full Name | Chatom Primary Care Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 75 5th Avenue, Millry, Alabama |
| Authorized Official Name and Position | James S Donald (OWNER) |
| Authorized Official Contact | 2518476262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chatom Primary Care Pc Po Box 1237 Chatom AL 36518-1237 Ph: (251) 847-6262 | Chatom Primary Care Pc 75 5th Avenue Millry AL 36558-0000 Ph: (251) 847-6262 |
| NPI Number | 1326243270 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326243270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |