Family Footcare Of Selma | |
6 Office Park Cir, Selma, AL 36701-6506 | |
(334) 872-5636 | |
(334) 872-5199 |
Full Name | Family Footcare Of Selma |
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Type | Facility |
Speciality | Podiatrist |
Location | 6 Office Park Cir, Selma, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1104025600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 248 (Alabama) | Secondary |
213E00000X | Podiatrist | 256 (Alabama) | Primary |
Provider Name | Glenn S Mcphillips |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104821222 PECOS PAC ID: 8729071097 Enrollment ID: I20041227000512 |
Provider Name | Tomeko L Mcphillips |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1821093949 PECOS PAC ID: 3173516440 Enrollment ID: I20041228000017 |
Mailing Address | Practice Location Address |
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Family Footcare Of Selma 6 Office Park Cir, Selma, AL 36701-6506 Ph: (334) 872-5636 | Family Footcare Of Selma 6 Office Park Cir, Selma, AL 36701-6506 Ph: (334) 872-5636 |
Dr. Glenn Stephen Mcphillips, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6 Office Park Cir, Selma, AL 36701 Phone: 334-872-5636 Fax: 334-872-5199 | |
Dr. Tomeko Lydritrius Mcphillips, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6 Office Park Cir, Selma, AL 36701 Phone: 334-872-5636 Fax: 334-872-5199 |