Wiregrass Podiatry Llc | |
1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 | |
(334) 494-8200 | |
(334) 460-1984 |
Full Name | Wiregrass Podiatry Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 1008 Boll Weevil Cir Ste B, Enterprise, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952873283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Bradford R Egly |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1528174489 PECOS PAC ID: 3274595145 Enrollment ID: I20070314000547 |
Provider Name | Jennifer R Decker |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1104092113 PECOS PAC ID: 9335275858 Enrollment ID: I20170418000358 |
Provider Name | Whitney Rayanne Syrus |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1396125829 PECOS PAC ID: 2163790593 Enrollment ID: I20190830002092 |
Mailing Address | Practice Location Address |
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Wiregrass Podiatry Llc 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 Ph: (334) 494-8200 | Wiregrass Podiatry Llc 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330-3400 Ph: (334) 494-8200 |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 107 E Watts St, Enterprise, AL 36330 Phone: 334-489-4203 | |
Dr. Jennifer Rose Decker, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 107 E Watts St, Enterprise, AL 36330 Phone: 334-310-1706 | |
Lincoln V Lowe, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1008 Boll Weevil Cir Ste B, Enterprise, AL 36330 Phone: 334-494-8200 | |
Chet J. Vahovius, Dpm, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 805 E. Lee St, Suite A, Enterprise, AL 36330 Phone: 334-393-5135 Fax: 334-393-7261 | |
Chet J Vahovius, D.P.M Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 805 E Lee St, Suite A, Enterprise, AL 36330 Phone: 334-393-5135 Fax: 334-393-7261 |