IVY CREEK PREVENTION CENTER LLC NPI 1659755577

NPI Information

IVY CREEK PREVENTION CENTER LLC is a general practice in Dadeville, AL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee IVY CREEK PREVENTION CENTER LLC NPI is 1659755577. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Stillwaters Family Medicine.

The provider's business location address is:

2129 MOONBROOK DR
DADEVILLE, AL
ZIP 36853-640
Phone: (334) 514-3848
Fax: (334) 514-3686

The provider's authorized official is Michael D Bruce .
The authorized official title is Ceo and has the following contact phone number (256) 675-0412.

The enumeration date for this NPI number is 7/10/2015 and was last updated on 5/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.