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191 Carraway Dr Ste A Winfield AL 35594-5074 | |
(205) 487-1586 | |
(205) 487-1589 |
Full Name | |
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Speciality | Family Medicine |
Location | 191 Carraway Dr Ste A, Winfield, Alabama |
Authorized Official Name and Position | Gary Matthew Fowler (MD) |
Authorized Official Contact | 2054871586 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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191 Carraway Drive Suite A Winfield AL 35594 Ph: (205) 487-1586 | 191 Carraway Dr Ste A Winfield AL 35594-5074 Ph: (205) 487-1586 |
NPI Number | 1144331356 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 12/11/2024 |
Medicare PECOS PAC ID | 7416966452 |
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Medicare Enrollment ID | O20060419000358 |
Identifier | Type | State | Issuer |
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1144331356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Gary M Fowler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073503405 PECOS PAC ID: 2668448127 Enrollment ID: I20040907000378 |
Provider Name | Alyssa Miles Webb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538543145 PECOS PAC ID: 1658675046 Enrollment ID: I20160204001593 |
Provider Name | Britney B Sullins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942832951 PECOS PAC ID: 0345679338 Enrollment ID: I20200325003868 |
Raj Kumar Sehgal Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2685 Us Highway 43, Winfield, AL 35594 Phone: 205-487-3284 Fax: 205-487-3285 | |