| Digital Care Team Of Al, Llc | |
|
2100 Southbridge Pkwy # 650 Birmingham AL 35209-1317 | |
| (773) 817-5928 | |
| Not Available |
| Full Name | Digital Care Team Of Al, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 Southbridge Pkwy # 650, Birmingham, Alabama |
| Authorized Official Name and Position | Wajahatuddin Macci (OWNER) |
| Authorized Official Contact | 7738175928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digital Care Team Of Al, Llc 343 N Wood Dale Rd # 201a Wood Dale IL 60191-1578 Ph: (773) 817-5928 | Digital Care Team Of Al, Llc 2100 Southbridge Pkwy # 650 Birmingham AL 35209-1317 Ph: (773) 817-5928 |
| NPI Number | 1467166876 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 5193190387 |
|---|---|
| Medicare Enrollment ID | O20230330002405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467166876 | NPI | - | NPPES |
| Provider Name | Ashley N Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922511625 PECOS PAC ID: 6800269523 Enrollment ID: I20230228002586 |
| Provider Name | Renae Eades Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871909465 PECOS PAC ID: 7911242714 Enrollment ID: I20230802003318 |
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