Arab Family Healthcare Llc | |
180 Greystone Pass Guntersville AL 35976-4801 | |
(256) 224-9167 | |
(256) 486-9244 |
Full Name | Arab Family Healthcare Llc |
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Speciality | Family Medicine |
Location | 180 Greystone Pass, Guntersville, Alabama |
Authorized Official Name and Position | Robert Wade Hargraves (PHYSICIAN) |
Authorized Official Contact | 2562249167 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Arab Family Healthcare Llc 180 Greystone Pass Guntersville AL 35976-4801 Ph: (256) 224-9167 | Arab Family Healthcare Llc 180 Greystone Pass Guntersville AL 35976-4801 Ph: (256) 224-9167 |
NPI Number | 1790937845 |
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Provider Enumeration Date | 10/21/2008 |
Last Update Date | 01/03/2021 |
Medicare PECOS PAC ID | 3072672708 |
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Medicare Enrollment ID | O20081231000094 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790937845 | NPI | - | NPPES |
1821048794 | Other | AL | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9277 (Alabama) | Primary |
Provider Name | Robert W Hargraves |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821048794 PECOS PAC ID: 2365443066 Enrollment ID: I20070124000019 |
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Lakeside North Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 Rowe Dr, Guntersville, AL 35976 Phone: 256-571-8460 Fax: 256-571-8464 | |
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