| Acg Services, Inc | |
|
1105 Eagletree Ln Sw Huntsville AL 35801-6447 | |
| (256) 261-2826 | |
| (256) 429-9246 |
| Full Name | Acg Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1105 Eagletree Ln Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Bradley S Rice (DIRECTOR) |
| Authorized Official Contact | 2562612826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acg Services, Inc 1105 Eagletree Ln Sw Huntsville AL 35801-6447 Ph: (256) 261-2826 | Acg Services, Inc 1105 Eagletree Ln Sw Huntsville AL 35801-6447 Ph: (256) 261-2826 |
| NPI Number | 1255894622 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 6204160609 |
|---|---|
| Medicare Enrollment ID | O20190618002917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255894622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Bradley S Rice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982731055 PECOS PAC ID: 3375696123 Enrollment ID: I20090728000084 |
| Provider Name | Vick S Dicarlo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104359314 PECOS PAC ID: 2163709106 Enrollment ID: I20230630000251 |
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