Gregory P Stidham, MD | |
110 23rd St Nw, Fayette, AL 35555-1001 | |
(205) 932-3891 | |
(205) 932-3996 |
Full Name | Gregory P Stidham |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 110 23rd St Nw, Fayette, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831183219 | NPI | - | NPPES |
009928080 | Medicaid | AL | |
630936460 | Other | AL | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00021977 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fayette Medical Center | Fayette, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Garry W Magouirk Mdpc | 8628096047 | 3 |
Entity Name | Garry W Magouirk Mdpc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922029263 PECOS PAC ID: 8628096047 Enrollment ID: O20051103001207 |
Mailing Address | Practice Location Address |
---|---|
Gregory P Stidham, MD 110 23rd St Nw, Fayette, AL 35555-1001 Ph: (205) 932-3891 | Gregory P Stidham, MD 110 23rd St Nw, Fayette, AL 35555-1001 Ph: (205) 932-3891 |
Dr. Charles W Nolen Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 1st Way Nw, Fayette, AL 35555 Phone: 205-932-7821 Fax: 205-932-7684 | |
Dr. Frederick Lee Yerby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1716 Temple Ave N, Suite 6, Fayette, AL 35555 Phone: 205-932-7750 Fax: 205-932-6293 | |
Garry W Magouirk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 23rd St Nw, Fayette, AL 35555 Phone: 205-932-3891 Fax: 205-932-3996 | |
Dakota S Acton Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1653 Temple Ave N, Fayette, AL 35555 Phone: 205-932-1421 | |
Richard O Rutland Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1653 Temple Ave N, Fayette, AL 35555 Phone: 205-932-5966 | |
Dr. Janice L Hudson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1031 Temple Ave N, Fayette, AL 35555 Phone: 205-932-3890 Fax: 205-932-4213 |