Albertville Family Medicine Llc | |
201 W Main St Albertville AL 35950-1627 | |
(256) 929-9074 | |
Not Available |
Full Name | Albertville Family Medicine Llc |
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Speciality | Family Medicine |
Location | 201 W Main St, Albertville, Alabama |
Authorized Official Name and Position | Monica Hagood (REGISTERED NURSE) |
Authorized Official Contact | 2566771320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Albertville Family Medicine Llc 201 W Main St Albertville AL 35950-1627 Ph: (256) 251-2012 | Albertville Family Medicine Llc 201 W Main St Albertville AL 35950-1627 Ph: (256) 929-9074 |
NPI Number | 1154008480 |
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Provider Enumeration Date | 06/29/2023 |
Last Update Date | 10/25/2023 |
Medicare PECOS PAC ID | 4587028691 |
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Medicare Enrollment ID | O20230907003399 |
Identifier | Type | State | Issuer |
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1154008480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Douglas Christopher Ginas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629059456 PECOS PAC ID: 7911920343 Enrollment ID: I20101021000622 |
Provider Name | Eric Hagood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205375318 PECOS PAC ID: 2567731037 Enrollment ID: I20170627002648 |
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