Alabama Multi-specialty Group, Pc | |
922 Fairfax Park Tuscaloosa AL 35406-2804 | |
(205) 391-9353 | |
Not Available |
Full Name | Alabama Multi-specialty Group, Pc |
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Speciality | Family Medicine |
Location | 922 Fairfax Park, Tuscaloosa, Alabama |
Authorized Official Name and Position | Lou H Scott (OFFICE MANAGER) |
Authorized Official Contact | 2053919353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alabama Multi-specialty Group, Pc 922 Fairfax Park Tuscaloosa AL 35406-2804 Ph: () - | Alabama Multi-specialty Group, Pc 922 Fairfax Park Tuscaloosa AL 35406-2804 Ph: (205) 391-9353 |
NPI Number | 1730255506 |
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Provider Enumeration Date | 11/25/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3779568019 |
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Medicare Enrollment ID | O20040622000132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730255506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Vernon L Scott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992786958 PECOS PAC ID: 2668457904 Enrollment ID: I20101119000498 |
Provider Name | Erica Day |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437488681 PECOS PAC ID: 9931386042 Enrollment ID: I20110526000585 |
Provider Name | Kristen Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578074860 PECOS PAC ID: 3870920069 Enrollment ID: I20230209002415 |
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