|
| |
|
20 Hazelwood Dr Pell City AL 35215 | |
| (205) 338-8008 | |
| (205) 338-8009 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 20 Hazelwood Dr, Pell City, Alabama |
| Authorized Official Name and Position | Randy Johansen (PRESIDENT) |
| Authorized Official Contact | 2054212101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 403-8902 | 20 Hazelwood Dr Pell City AL 35215 Ph: (205) 338-8008 |
| NPI Number | 1245575950 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245575950 | NPI | - | NPPES |
| 529202590 | Medicaid | AL |
Ricky Tubbs, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Martin St N, Suite 300, Pell City, AL 35125 Phone: 256-368-1509 | |
Main Street Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Cogswell Ave, Pell City, AL 35125 Phone: 205-814-1598 Fax: 205-814-1587 | |
Med Md Plus, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Cropwell Dr, Pell City, AL 35128 Phone: 205-814-0404 Fax: 205-814-0407 | |
St Clair Eye Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Eminence Way Ste A, Pell City, AL 35128 Phone: 205-206-4518 | |