Weiss Lake Hospitalists, LLC
Hospitalist in Centre, AL. Organization (NPI-2).
NPI number1205397643
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1205397643
- Entity type
- Organization (NPI-2)
- Legal business name
- Weiss Lake Hospitalists, LLC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2019
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
Practice location
400 Northwood DrCentre, AL 35960-1023
Phone 256-927-5531
Mailing address
Po Box 24962Belfast, ME 04915-2000
Phone 770-540-5400
Authorized official
Kim H Larsen
Director Of Credentialing
7708745400
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