| Comprehensive Pediatrics And Internal Medicine, Llc | |
|
430 Emery Dr Ste 200 Hoover AL 35244-4595 | |
| (205) 855-0357 | |
| Not Available |
| Full Name | Comprehensive Pediatrics And Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 430 Emery Dr Ste 200, Hoover, Alabama |
| Authorized Official Name and Position | Marquisha Moore Jarmon (OWNER/MD) |
| Authorized Official Contact | 9012883280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Pediatrics And Internal Medicine, Llc 430 Emery Dr Ste 200 Hoover AL 35244-4595 Ph: () - | Comprehensive Pediatrics And Internal Medicine, Llc 430 Emery Dr Ste 200 Hoover AL 35244-4595 Ph: (205) 855-0357 |
| NPI Number | 1992339246 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 7911337597 |
|---|---|
| Medicare Enrollment ID | O20200422001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992339246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marquisha D Moore Jarmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013085679 PECOS PAC ID: 5890883060 Enrollment ID: I20071126000008 |
| Provider Name | Dana E Free |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164855136 PECOS PAC ID: 5991024903 Enrollment ID: I20150424000608 |
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