Graduated: 2021
Also: GENERAL PRACTICE
NPI: 1073181426
Practice Locations (2)
IVY CREEK OF TALLAPOOSA LLC
201 MARIARDEN RD
DADEVILLE, AL 368536244
2568257821
IVY CREEK FAMILY CARE OF LAKE MARTIN
5959 HWY 49 S, UNIT K
DADEVILLE, AL 368536745
2568257871
Source: CMS National Downloadable File, September 2026.