Alabama Geriatric Specialists Inc. | |
1 W Lakeshore Dr Ste 100 Birmingham AL 35209-7271 | |
(205) 916-0105 | |
Not Available |
Full Name | Alabama Geriatric Specialists Inc. |
---|---|
Speciality | Internal Medicine - Geriatric Medicine |
Location | 1 W Lakeshore Dr Ste 100, Birmingham, Alabama |
Authorized Official Name and Position | Paul D Roller (OWNER/PHYSICIAN) |
Authorized Official Contact | 2059160105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alabama Geriatric Specialists Inc. Po Box 130776 Birmingham AL 35213-0776 Ph: (205) 916-0105 | Alabama Geriatric Specialists Inc. 1 W Lakeshore Dr Ste 100 Birmingham AL 35209-7271 Ph: (205) 916-0105 |
NPI Number | 1669494597 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 09/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669494597 | NPI | - | NPPES |
529912710 | Medicaid | AL | |
DA7932 | Other | RAILROAD MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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