| Central Alabama Medical Contractors, Inc | |
|
101 Kelley Blvd Ste D Millbrook AL 36054-2221 | |
| (334) 245-2600 | |
| (334) 245-2610 |
| Full Name | Central Alabama Medical Contractors, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Kelley Blvd Ste D, Millbrook, Alabama |
| Authorized Official Name and Position | Charles Dennis Wooldridge (CO-OWNER) |
| Authorized Official Contact | 3343004460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Alabama Medical Contractors, Inc 101 Kelley Blvd Ste D Millbrook AL 36054-2221 Ph: (334) 245-2600 | Central Alabama Medical Contractors, Inc 101 Kelley Blvd Ste D Millbrook AL 36054-2221 Ph: (334) 245-2600 |
| NPI Number | 1962870477 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 8426437799 |
|---|---|
| Medicare Enrollment ID | O20220616000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962870477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Charles D Wooldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114959459 PECOS PAC ID: 7012941917 Enrollment ID: I20050920001253 |
| Provider Name | Lauren Ashlee Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578195871 PECOS PAC ID: 1254722481 Enrollment ID: I20211227000266 |
Physical Express Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4081 Alabama Hwy 14, Millbrook, AL 36054 Phone: 334-285-3222 Fax: 334-285-6555 | |
Marla H Wohlman Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3351 Main St, Millbrook, AL 36054 Phone: 334-285-7808 Fax: 334-285-7810 | |
Annie R. Tan, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Oak Tree Rd, Ste H, Millbrook, AL 36054 Phone: 334-285-8282 Fax: 334-261-6113 | |
Millbrook Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2588 Main St, Millbrook, AL 36054 Phone: 334-285-5703 Fax: 334-285-5705 |