| |
602 S Lawrence St Montgomery AL 36104-4787 | |
(334) 293-7500 | |
(334) 293-7373 |
Full Name | |
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Speciality | Clinic/center |
Location | 602 S Lawrence St, Montgomery, Alabama |
Authorized Official Name and Position | Cary Boswell (COMMISSIONER) |
Authorized Official Contact | 3342937500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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602 S Lawrence St Montgomery AL 36104-4787 Ph: (334) 293-7500 | 602 S Lawrence St Montgomery AL 36104-4787 Ph: (334) 293-7500 |
NPI Number | 1891849725 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 01/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891849725 | NPI | - | NPPES |
528600190 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (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 | |