| Advanced Internal Medicine Pc | |
|
860 Montclair Rd Pob 860 Ste 761 Birmingham AL 35213-1923 | |
| (205) 595-0395 | |
| (205) 599-9024 |
| Full Name | Advanced Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 860 Montclair Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Sharon Brom Chaney (OWNER) |
| Authorized Official Contact | 2055950395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medicine Pc P O Box 430125 Birmingham AL 35243 Ph: (205) 595-0395 | Advanced Internal Medicine Pc 860 Montclair Rd Pob 860 Ste 761 Birmingham AL 35213-1923 Ph: (205) 595-0395 |
| NPI Number | 1558528356 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 06/18/2010 |
| Medicare PECOS PAC ID | 8224102413 |
|---|---|
| Medicare Enrollment ID | O20080806000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558528356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00023549 (Alabama) | Primary |
| Provider Name | Sharon B Chaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083702849 PECOS PAC ID: 3173506573 Enrollment ID: I20040729001035 |
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