Jerry Allen Grant Jr, DO | |
220 Doug Baker Blvd Ste 100, Hoover, AL 35242-2680 | |
(205) 980-0035 | |
(205) 980-1649 |
Full Name | Jerry Allen Grant Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 220 Doug Baker Blvd Ste 100, Hoover, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407476385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DO.2703 (Alabama) | Secondary |
207R00000X | Internal Medicine | 2703 (Alabama) | Primary |
Entity Name | Internal Medicine Associates P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225108715 PECOS PAC ID: 0941251607 Enrollment ID: O20050210000091 |
Mailing Address | Practice Location Address |
---|---|
Jerry Allen Grant Jr, DO 220 Doug Baker Blvd Ste 100, Hoover, AL 35242-2680 Ph: (205) 980-0035 | Jerry Allen Grant Jr, DO 220 Doug Baker Blvd Ste 100, Hoover, AL 35242-2680 Ph: (205) 980-0035 |
Mohannad Fadl Azzam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2052 Blackridge Rd, Hoover, AL 35244 Phone: 205-934-4794 | |
Malia Bree Downing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2279 Valleydale Rd Ste 100, Hoover, AL 35244 Phone: 205-214-7546 Fax: 205-449-2495 | |
Maria Rosario Abano Cumagun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1870 Chace Dr Ste 160, Hoover, AL 35244 Phone: 205-733-7110 Fax: 205-733-7859 | |
Raj Vachhani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Emery Dr W, Hoover, AL 35244 Phone: 205-989-7254 | |
Dr. James Pham Ho, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1744 Napier Dr, Hoover, AL 35226 Phone: 205-261-1075 | |
Andrea M Pincham Benton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Cahaba Beach Rd, Hoover, AL 35242 Phone: 205-402-8902 Fax: 205-402-8902 | |
Mrs. Amy L Illescas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Meadowview Dr, Hoover, AL 35242 Phone: 205-547-2323 Fax: 205-995-0955 |