NPI 1629248190

Lillian Medical Clinic, PC

Organisation Point of Service Lillian, AL

Practice location

Address: 34463 US Highway 98, Lillian, AL 36549-4049
Phone: (251) 962-4362
Fax: (251) 962-4363
Mailing address: PO Box 389, Lillian, AL 36549-0389

Authorised official

Name: Radcliffe J Coyle
Title: Dr. / Owner
Phone: (251) 962-4362

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 6346 (AL)

Other Point of Service providers in Alabama →

Registry record

NPI: 1629248190
Entity type: Organization
NPI issued: 11 Mar 2008
Record last updated: 8 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.