| The Women's Pavilion, Pc | |
|
59 Alison Dr Ste 8 Alexander City AL 35010-4411 | |
| (256) 234-3477 | |
| (256) 234-9866 |
| Full Name | The Women's Pavilion, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 59 Alison Dr Ste 8, Alexander City, Alabama |
| Authorized Official Name and Position | Davis Lee Sullivan (PRESIDENT) |
| Authorized Official Contact | 2562343477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Women's Pavilion, Pc 59 Alison Dr Ste 8 Alexander City AL 35010-4411 Ph: (256) 234-3477 | The Women's Pavilion, Pc 59 Alison Dr Ste 8 Alexander City AL 35010-4411 Ph: (256) 234-3477 |
| NPI Number | 1134296817 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134296817 | NPI | - | NPPES |
| 529403570 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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