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NPI 1144390576 · live from the CMS NPI Registry

Community Hospital Of Andalusia, INC

Dietitian, Registered in Andalusia, AL. National Provider Identifier 1144390576, active.

NPI record

NPI1144390576 Type 2 · organization
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location849 S Three Notch St, Andalusia, AL 36420
Practice phone334-222-8466
Mailing address849 S Three Notch St, P.O. Box 760, Andalusia, AL 36420
EnumeratedNovember 9, 2006
Last updatedMarch 11, 2024
Authorized officialKathy Teague, Vice President, Corporate Secretary
Other namesAndalusia Regional Hospital

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X1757 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.