| |
1810 Stadium Dr, Suite 120, Phenix City, AL 36867-3100 | |
(334) 298-0019 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 1810 Stadium Dr, Phenix City, Alabama |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1427259225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1810 Stadium Dr, Suite 120, Phenix City, AL 36867-3100 Ph: (334) 298-0019 | 1810 Stadium Dr, Suite 120, Phenix City, AL 36867-3100 Ph: (334) 298-0019 |