| NPI | 1699288522 |
|---|---|
| Doing Business As | LAKE EUFAULA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RALPH CLARK CEO 334-688-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |