Ivy Creek Internal Medicine

LBN: Ivy Creek Of Elmore Llc
Ivy Creek Internal Medicine is an health care organization with primary practice located at 807 Jackson Trace Rd , Wetumpka AL 36092-1504. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Ivy Creek Of Elmore Llc can be contacted via phone (334) 358-3777, or through Dozier-Mccormick, Lynda Gayle via phone (334) 514-3848.

Contact Information

Primary practice address
807 Jackson Trace Rd Wetumpka AL 36092-1504
Phone: (334) 358-3777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dozier-Mccormick, Lynda Gayle
Phone: (334) 514-3848

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1467975581
LBN Legal business name Ivy Creek Of Elmore Llc
DBA Doing business as Ivy Creek Internal Medicine
Authorized official Dozier-Mccormick, Lynda Gayle
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2017
Last updated Mar 29th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers