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1235659319
IMC-EASTERN SHORE FAMILY PRACTICE LLC
DAPHNE, AL
NPI
1235659319
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Entity Type
Organization
Authorized Contact
ANTHONY PALAZZO
Vice President Of Finance
251-435-1361
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
IMC-EASTERN SHORE FAMILY PRACTICE LLC
27961 HIGHWAY 98 SUITE 14
DAPHNE, AL 36526
Phone number: 251-626-1175
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Mailing Address
IMC-EASTERN SHORE FAMILY PRACTICE LLC
PO BOX 2226
MOBILE, AL 36652-2226
Phone number:
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