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CROY LARNELL HEATH

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1770080988

Individual Registrant:
 CROY LARNELL HEATH 
Gender: M
Sole Proprietor

Location and contact information for practice:
116 CHURCH ST STE 4  RAINBOW CITY, AL 35906-6287 US
Tel: 256-459-5600  Fax: --

Contact information for business:
1020 WAINWRIGHT AVE  GADSDEN, AL 35903-3467 US
Tel: 256-438-6928  Fax: --

Registration Information:
NPI: 1770080988
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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