| NPI | 1972317741 |
|---|---|
| Doing Business As | IVY CREEK FAMILY CARE OF ENTERPRISE |
| Entity Type | Organization |
| Authorized Contact | JADE LANE Credentialing Manager 334-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-03-04 |