Organization Name: | SOUTHERN RAPID CARE, LLC |
NPI Number: | 1679922439 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELIA STEPHENS (NURSE PRACTITIONER) |
Mailing Address: | 25910 Canal Rd # D Orange Beach |
State: | AL US |
Postal Code: | 365615014 |
Phone Number: | 2519812273 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2016 |
NPI Last Update Date: | 06/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |