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2129 E South Blvd Montgomery AL 36116-2409 | |
(334) 613-2200 | |
(334) 613-1973 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2129 E South Blvd, Montgomery, Alabama |
Authorized Official Name and Position | Russell Steven Shivers (COMMISSIONER) |
Authorized Official Contact | 3346132200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2129 E South Blvd Montgomery AL 36116-2409 Ph: (334) 613-2200 | 2129 E South Blvd Montgomery AL 36116-2409 Ph: (334) 613-2200 |
NPI Number | 1811171614 |
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Provider Enumeration Date | 12/28/2007 |
Last Update Date | 12/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811171614 | NPI | - | NPPES |
510-46927 | Other | AL | ALL-KIDS PLUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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 | |