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1326184029
PRATTVILLE PRIMARY CARE LLC
PRATTVILLE, AL
NPI
1326184029
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Entity Type
Organization
Authorized Contact
DANNY P INGRAM
President
334-365-2205
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 10401)
Enumeration Date
2007-01-29
Last Update Date
2020-02-21
Business Address
PRATTVILLE PRIMARY CARE LLC
461 E MAIN STREET
PRATTVILLE, AL 36067
Phone number: 334-365-2205
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Mailing Address
PRATTVILLE PRIMARY CARE LLC
PO DRAWER 681330
PRATTVILLE, AL 36068-1330
Phone number: 334-365-2205
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