| Care Complete Medical Clinic(ccmc)llc | |
|
1300 Bessemer Rd Suite A Birmingham AL 35208-4326 | |
| (205) 929-0565 | |
| (205) 929-0564 |
| Full Name | Care Complete Medical Clinic(ccmc)llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1300 Bessemer Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Patrick E Ifediba (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2059290565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Complete Medical Clinic(ccmc)llc 1300 Bessemer Rd Suite A Birmingham AL 35208-4326 Ph: (205) 929-0565 | Care Complete Medical Clinic(ccmc)llc 1300 Bessemer Rd Suite A Birmingham AL 35208-4326 Ph: (205) 929-0565 |
| NPI Number | 1750728846 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 08/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750728846 | NPI | - | NPPES |
| 119889 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19014 (Alabama) | Primary |
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