| NPI | 1396342184 |
|---|---|
| Doing Business As | IVY CREEK ER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D BRUCE CEO 334-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-09 |