| |
4126 Carmichael Ct Montgomery AL 36106-2871 | |
(334) 495-2600 | |
(334) 495-2604 |
Full Name | |
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Speciality | Internal Medicine |
Location | 4126 Carmichael Ct, Montgomery, Alabama |
Authorized Official Name and Position | Chandi Butler (ADMINISTRATOR) |
Authorized Official Contact | 3342399257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4126 Carmichael Ct Montgomery AL 36106-2871 Ph: (334) 495-2600 | 4126 Carmichael Ct Montgomery AL 36106-2871 Ph: (334) 495-2600 |
NPI Number | 1073587523 |
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Provider Enumeration Date | 02/13/2006 |
Last Update Date | 08/09/2019 |
Medicare PECOS PAC ID | 6800887530 |
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Medicare Enrollment ID | O20040521000235 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073587523 | NPI | - | NPPES |
01D1026965 | Other | CLIA WAIVER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Mark M Anderson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538132170 PECOS PAC ID: 1850382482 Enrollment ID: I20040526001504 |
Provider Name | William P White |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1962475020 PECOS PAC ID: 8426049057 Enrollment ID: I20040526001548 |
Provider Name | Nina P Nelson-garrett |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1487612578 PECOS PAC ID: 6103859889 Enrollment ID: I20070425000586 |
Provider Name | Jackie Rose Shumate |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558600221 PECOS PAC ID: 2668627399 Enrollment ID: I20130304000488 |
Provider Name | Ashley Carnley Morrow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871934984 PECOS PAC ID: 7113161902 Enrollment ID: I20130917000643 |
Provider Name | Heather R Echols |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306070818 PECOS PAC ID: 5890012876 Enrollment ID: I20160912000140 |
Provider Name | Mary Katherine Veazey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841832839 PECOS PAC ID: 2769814110 Enrollment ID: I20191122002407 |
Provider Name | Brittany A Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558917047 PECOS PAC ID: 3375979784 Enrollment ID: I20200203002632 |
Provider Name | Brittney Marie Barber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013514256 PECOS PAC ID: 1850701582 Enrollment ID: I20201106002248 |
Provider Name | Jenny Browning |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982232708 PECOS PAC ID: 7618376773 Enrollment ID: I20210524001123 |
Provider Name | Kathryn Riggins Hargrove |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013751759 PECOS PAC ID: 3971038449 Enrollment ID: I20241120002009 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |