| Ppa | |
|
1201 7th St Se Decatur AL 35601 | |
| (256) 350-4855 | |
| (256) 350-4866 |
| Full Name | Ppa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1201 7th St Se, Decatur, Alabama |
| Authorized Official Name and Position | Dean A Griffin (CEO) |
| Authorized Official Contact | 2563412802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppa Po Box 2239 Decatur AL 35609-2239 Ph: (256) 350-4855 | Ppa 1201 7th St Se Decatur AL 35601 Ph: (256) 350-4855 |
| NPI Number | 1164777066 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164777066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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