| Adams Family Practice Pc | |
|
1323 B Mulberry St Montgomery AL 36106-1545 | |
| (334) 264-3434 | |
| (334) 834-9071 |
| Full Name | Adams Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1323 B Mulberry St, Montgomery, Alabama |
| Authorized Official Name and Position | Kynard Levi Adams (MEDICAL DOCTOR) |
| Authorized Official Contact | 3342643434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adams Family Practice Pc 1323 B Mulberry St Montgomery AL 36106-1545 Ph: (334) 264-3434 | Adams Family Practice Pc 1323 B Mulberry St Montgomery AL 36106-1545 Ph: (334) 264-3434 |
| NPI Number | 1740276617 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355536822 |
|---|---|
| Medicare Enrollment ID | O20101110000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740276617 | NPI | - | NPPES |
| 510-32779 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10658 (Alabama) | Primary |
| Provider Name | Kynard L Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700873494 PECOS PAC ID: 1254526726 Enrollment ID: I20101110000060 |
| Provider Name | Nannette Laraine Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841699535 PECOS PAC ID: 1052621836 Enrollment ID: I20151106000680 |
| Provider Name | Maria Rachuonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265075626 PECOS PAC ID: 8628499589 Enrollment ID: I20200601001176 |
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