| Bartow Enterprises Llc | |
|
212 W Troy St Ste B Dothan AL 36303-4455 | |
| (954) 579-7484 | |
| Not Available |
| Full Name | Bartow Enterprises Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 W Troy St Ste B, Dothan, Alabama |
| Authorized Official Name and Position | Matthew Bartow (OWNER) |
| Authorized Official Contact | 9545797484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bartow Enterprises Llc 20050 Oak Rd E Unit 805 Gulf Shores AL 36542-5726 Ph: () - | Bartow Enterprises Llc 212 W Troy St Ste B Dothan AL 36303-4455 Ph: (954) 579-7484 |
| NPI Number | 1306628102 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 5294183067 |
|---|---|
| Medicare Enrollment ID | O20231205001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306628102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Matthew Bartow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922460807 PECOS PAC ID: 5799068870 Enrollment ID: I20231205001263 |
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