| Abc Family Medicine Inc | |
|
24 County Road 262 Hanceville AL 35077-3415 | |
| (256) 781-0718 | |
| Not Available |
| Full Name | Abc Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 24 County Road 262, Hanceville, Alabama |
| Authorized Official Name and Position | Julia Renae Jones (OWNER) |
| Authorized Official Contact | 2567810718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Family Medicine Inc 24 County Road 262 Hanceville AL 35077-3415 Ph: (256) 781-0718 | Abc Family Medicine Inc 24 County Road 262 Hanceville AL 35077-3415 Ph: (256) 781-0718 |
| NPI Number | 1508338278 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 11/16/2020 |
| Medicare PECOS PAC ID | 0446583694 |
|---|---|
| Medicare Enrollment ID | O20190604000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508338278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Justin T Cooke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285820936 PECOS PAC ID: 9830223635 Enrollment ID: I20160713000119 |
| Provider Name | Julia Renae Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819128 PECOS PAC ID: 6002156429 Enrollment ID: I20190321003050 |
| Provider Name | Mckinley Neal Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164095915 PECOS PAC ID: 0648676098 Enrollment ID: I20210909002259 |
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