| Organization Name: | NOTASULGA HEALTHCARE |
| NPI Number: | 1164550489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEE S GREER (CFO) |
| Mailing Address: | 56 West Main Street Notasulga |
| State: | AL US |
| Postal Code: | 368660100 |
| Phone Number: | 3342833734 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 08/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 1-090975 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |