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.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
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