Organization Name: | ATTENTUS MOULTON, LLC |
NPI Number: | 1124062286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | J. KYLE BUCHANAN (CEO) |
Mailing Address: | 10939 Al Highway 157 Moulton |
State: | AL US |
Postal Code: | 356501900 |
Phone Number: | 2569748440 |
Fax Number: | 2569746993 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |