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2201 Arlington Ave Bessemer AL 35020-4221 | |
| (205) 324-6502 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2201 Arlington Ave, Bessemer, Alabama |
| Authorized Official Name and Position | Christopher W Retan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2053246502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1514 Birmingham AL 35201-1514 Ph: (205) 324-6502 | 2201 Arlington Ave Bessemer AL 35020-4221 Ph: (205) 324-6502 |
| NPI Number | 1003270430 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 3971886151 |
|---|---|
| Medicare Enrollment ID | O20170214000963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003270430 | NPI | - | NPPES |
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