| Aidb | |
|
205 South St E Talladega AL 35160-2411 | |
| (256) 761-3201 | |
| (256) 761-3485 |
| Full Name | Aidb |
|---|---|
| Speciality | Case Management |
| Location | 205 South St E, Talladega, Alabama |
| Authorized Official Name and Position | Terry Graham (PRESIDENT) |
| Authorized Official Contact | 2567613201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aidb 205 South St E Talladega AL 35160-2411 Ph: (256) 761-3201 | Aidb 205 South St E Talladega AL 35160-2411 Ph: (256) 761-3201 |
| NPI Number | 1386798445 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386798445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Alabama) | Primary |
| 208D00000X | General Practice | (Alabama) | Primary |
| 251B00000X | Case Management | (Alabama) | Primary |
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