Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prison Health |
261QP2400X |
| NPI # | 1164655791 |
| LBN Legal business name | FPC ALDERSON |
| Authorized official | NATALIE WRIGHT - (CLINICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/31/2009 |
| Last updated | 08/31/2009 - About 17 years ago |
| Identifiers | n/a |
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