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196 County Road 85 Stevenson AL 35772-5522 | |
(256) 437-2728 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 196 County Road 85, Stevenson, Alabama |
Authorized Official Name and Position | Jay Higham (CEO) |
Authorized Official Contact | 2143656112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 Ph: (214) 365-6100 | 196 County Road 85 Stevenson AL 35772-5522 Ph: (256) 437-2728 |
NPI Number | 1184257420 |
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Provider Enumeration Date | 02/14/2020 |
Last Update Date | 12/27/2024 |
Certification Date | 12/27/2024 |
Medicare PECOS PAC ID | 0840607156 |
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Medicare Enrollment ID | O20210405001162 |
Identifier | Type | State | Issuer |
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1184257420 | NPI | - | NPPES |