| NPI | 1477708857 |
|---|---|
| Former Legal Business Name | ISLAND MEDICAL TROY ALABAMA LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA REESE Provider Enrollment Officer 855-687-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2023-02-24 |