NPI: 1215235072
Provider Name: HEALTHCARE AUTHORITY OF ELBA
Doing Business As: JASON D. TUCKER, MD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization
Specialization: Primary Care
Address:
980 DRAYTON AVE
ELBA, AL
ZIP 36323
Phone: (334) 897-3800
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HEALTHCARE AUTHORITY OF ELBA is a primary care clinic center in Elba, AL. HEALTHCARE AUTHORITY OF ELBA NPI is 1215235072. The provider is registered as an organization entity type.
The provider Is Doing Business As Jason D. Tucker, Md.
The provider's business location address is:
980 DRAYTON AVE
ELBA, AL
ZIP 36323-404
Phone: (334) 897-3800
Fax: (334) 897-3804
The provider's authorized official is Ellen C Briley .
The authorized official title is Chief Executive Officer and has the following contact phone number (334) 897-2257.
The enumeration date for this NPI number is 3/3/2011 and was last updated on 3/3/2011.