1093838880 IVY CREEK OF ELMORE, LLC
Preferred Provider Organization
Active
Basic Information
- Organization Name
- IVY CREEK OF ELMORE, LLC
- Enumeration Date
- April 9, 2007
- Last Update
- August 22, 2020
- Authorized Official
- GORDON FAULK
CEO
Phone: (334) 567-4311
Practice Location
- Address
- 74186 TALLASSEE HWY
WETUMPKA, AL 360925643 - Phone
- (334) 567-0346
- Fax
- (334) 567-0855
Mailing Address
- Address
- 500 HOSPITAL DR
WETUMPKA, AL 360921625 - Phone
- (334) 567-4311
- Fax
- (334) 567-3361
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | 00011939 | AL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529913110 | 05 | AL | N/A |
Frequently Asked Questions
What is IVY CREEK OF ELMORE, LLC's NPI number?
IVY CREEK OF ELMORE, LLC's NPI number is 1093838880.
Which doctor has NPI number 1093838880?
The doctor with NPI number 1093838880 is IVY CREEK OF ELMORE, LLC.
What is IVY CREEK OF ELMORE, LLC's practice address?
IVY CREEK OF ELMORE, LLC's practice address is 74186 TALLASSEE HWY, WETUMPKA, AL, 360925643.
Which doctor practices at 74186 TALLASSEE HWY, WETUMPKA, AL, 360925643?
IVY CREEK OF ELMORE, LLC practices at 74186 TALLASSEE HWY, WETUMPKA, AL, 360925643.
What is IVY CREEK OF ELMORE, LLC's mailing address?
IVY CREEK OF ELMORE, LLC's mailing address is 500 HOSPITAL DR, WETUMPKA, AL, 360921625.
What is IVY CREEK OF ELMORE, LLC's phone number?
IVY CREEK OF ELMORE, LLC's phone number is (334) 567-0346.
Who is (334) 567-0346?
(334) 567-0346 is the phone number for IVY CREEK OF ELMORE, LLC.
What is IVY CREEK OF ELMORE, LLC's specialty?
IVY CREEK OF ELMORE, LLC's specialty is Preferred Provider Organization.
What type of doctor is IVY CREEK OF ELMORE, LLC?
IVY CREEK OF ELMORE, LLC is a Preferred Provider Organization.
Is IVY CREEK OF ELMORE, LLC a Preferred Provider Organization?
Yes, IVY CREEK OF ELMORE, LLC is a Preferred Provider Organization.
Is IVY CREEK OF ELMORE, LLC still practicing?
Yes, IVY CREEK OF ELMORE, LLC is currently practicing.
Is IVY CREEK OF ELMORE, LLC accepting new patients?
IVY CREEK OF ELMORE, LLC may be accepting new patients. Please call their office at (334) 567-0346 to inquire about availability.
Is NPI 1093838880 still active?
Yes, NPI 1093838880 is currently active.
Where does IVY CREEK OF ELMORE, LLC practice?
IVY CREEK OF ELMORE, LLC practices in WETUMPKA, AL.