Ttc, Llc | |
12271 Interchange Drive Grand Bay AL 36541 | |
(251) 865-0123 | |
(251) 865-0247 |
Full Name | Ttc, Llc |
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Speciality | Clinic/Center |
Location | 12271 Interchange Drive, Grand Bay, Alabama |
Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
Authorized Official Contact | 2143656126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ttc, Llc 5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 Ph: (214) 365-6100 | Ttc, Llc 12271 Interchange Drive Grand Bay AL 36541 Ph: (251) 865-0123 |
NPI Number | 1821635137 |
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Provider Enumeration Date | 12/05/2019 |
Last Update Date | 12/05/2019 |
Medicare PECOS PAC ID | 4385079987 |
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Medicare Enrollment ID | O20200714001888 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821635137 | NPI | - | NPPES |
Bhg Medical Services - Grand Bay Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12271 Interchange Drive, Grand Bay, AL 36541 Phone: 251-865-0123 Fax: 251-865-0247 | |
South Alabama Medical Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541 Phone: 251-865-1852 Fax: 251-865-1854 | |
South Alabama Medical Clinic, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541 Phone: 251-865-1852 Fax: 251-865-1854 |