| Comprehensive Primary & Urgent Care Of Alabama, Llc | |
|
707 W Market St Athens AL 35611-2463 | |
| (256) 444-1815 | |
| Not Available |
| Full Name | Comprehensive Primary & Urgent Care Of Alabama, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 707 W Market St, Athens, Alabama |
| Authorized Official Name and Position | Audra E Moore (MEMBER) |
| Authorized Official Contact | 2567770000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Primary & Urgent Care Of Alabama, Llc 707 W Market St Ste C Athens AL 35611-2463 Ph: (256) 444-1815 | Comprehensive Primary & Urgent Care Of Alabama, Llc 707 W Market St Athens AL 35611-2463 Ph: (256) 444-1815 |
| NPI Number | 1750997706 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 1254741515 |
|---|---|
| Medicare Enrollment ID | O20201028001145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750997706 | NPI | - | NPPES |
| Provider Name | Stanley F Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447423009 PECOS PAC ID: 3274604939 Enrollment ID: I20080624000387 |
| Provider Name | Audra E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194107631 PECOS PAC ID: 3173839743 Enrollment ID: I20150826002701 |
| Provider Name | Evans N Mize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831414358 PECOS PAC ID: 6709031750 Enrollment ID: I20160125001896 |
| Provider Name | Linda Sue Kirkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669778635 PECOS PAC ID: 2668655184 Enrollment ID: I20160419001762 |
| Provider Name | Morgan B Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154884286 PECOS PAC ID: 8527390509 Enrollment ID: I20210223000482 |
| Provider Name | Ashley Tice Letson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932798428 PECOS PAC ID: 2466869318 Enrollment ID: I20210322001344 |
| Provider Name | Kerri Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407516669 PECOS PAC ID: 7719371541 Enrollment ID: I20220222000205 |
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