Bernice R Swain Do Pllc | |
2424 Danville Rd Sw Ste L Decatur AL 35603-4219 | |
(256) 341-0043 | |
(256) 341-0043 |
Full Name | Bernice R Swain Do Pllc |
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Speciality | Clinic/Center |
Location | 2424 Danville Rd Sw Ste L, Decatur, Alabama |
Authorized Official Name and Position | Bernice Renee Swain (OWNER/PHYSICIAN) |
Authorized Official Contact | 2563410043 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bernice R Swain Do Pllc 2424 Danville Rd Sw Ste L Decatur AL 35603-4219 Ph: (256) 341-0043 | Bernice R Swain Do Pllc 2424 Danville Rd Sw Ste L Decatur AL 35603-4219 Ph: (256) 341-0043 |
NPI Number | 1568967081 |
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Provider Enumeration Date | 03/27/2018 |
Last Update Date | 03/27/2018 |
Medicare PECOS PAC ID | 5496082695 |
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Medicare Enrollment ID | O20190812000374 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568967081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Alabama) | Primary |
Provider Name | Bernice R Swain |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881789063 PECOS PAC ID: 6709919350 Enrollment ID: I20100803000270 |
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