Organization Name: | SINGING RIVER HEALTHCARE, LLC |
NPI Number: | 1013330216 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AUDREY NEWTON (PRESIDENT) |
Mailing Address: | 503 W College St Florence |
State: | AL US |
Postal Code: | 356305311 |
Phone Number: | 2567663593 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2014 |
NPI Last Update Date: | 01/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | RES642455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |