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Ivy Creek Of Butler, Llc.
Rural Health Clinic/Center in Georgiana, Alabama
NPI 1245372168

Ivy Creek Of Butler, Llc. is a Rural Health Clinic/Center based in Greenville, AL and is specialized in Rural Health. Ivy Creek Of Butler, Llc. practices in Georgiana, AL. The NPI Number for Ivy Creek Of Butler, Llc. is 1245372168 and holds a License No. 11769 (Alabama).

The current practice location address for Ivy Creek Of Butler, Llc. is 125 Church Street, Georgiana, AL and can be reached out via phone at 334-376-2291 and via fax at 334-376-3655.

Location: 125 Church Street, Georgiana, AL, 36037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245372168
Provider Name
Ivy Creek Of Butler, Llc.
Credential
Provider Entity Type
Organization
Address
125 Church Street, Georgiana, AL, 36037
Phone Number
334-376-2291
Fax Number
334-376-3655
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540003424 05 AL
institution
Provider Business Practice Location Address Details
Address
125 Church Street
City
Georgiana
State
Alabama
Zip
36033
Phone Number
334-376-2291
Fax Number
334-376-3655
person
Provider Business Mailing Address Details
Address
125 Church Street
City
Georgiana
State
Alabama
Zip
36033
Phone Number
334-376-2291
Fax Number
334-376-3655
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
11769 (Alabama)
Definition
Definition to come...
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