Organization Name: | COOSA VALLEY EQUINE CENTER, P. C. |
NPI Number: | 1427217975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD FOUST MURRAY (OWNER) |
Mailing Address: | 1330 Mineral Springs Rd Pell City |
State: | AL US |
Postal Code: | 351253424 |
Phone Number: | 2053381111 |
Fax Number: | 2053383242 |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 2327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |