| NPI | 1760930200 |
|---|---|
| Doing Business As | MOULTON PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTY LOUALLEN Credentialing/Billing Supervisor 256-974-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2019-07-25 |