| Craddock Health Center P C | |
|
209 W Spring St Suite 200 Sylacauga AL 35150-2973 | |
| (256) 245-5241 | |
| (256) 245-0194 |
| Full Name | Craddock Health Center P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 209 W Spring St, Sylacauga, Alabama |
| Authorized Official Name and Position | Donna B Hernandez (OFFICE MANAGER) |
| Authorized Official Contact | 2562455241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Craddock Health Center P C 209 W Spring St Suite 200 Sylacauga AL 35150-2973 Ph: (256) 245-5241 | Craddock Health Center P C 209 W Spring St Suite 200 Sylacauga AL 35150-2973 Ph: (256) 245-5241 |
| NPI Number | 1184669483 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 05/07/2008 |
| Medicare PECOS PAC ID | 9032135504 |
|---|---|
| Medicare Enrollment ID | O20051024000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184669483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahgoub A Eltoum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508966920 PECOS PAC ID: 1658303557 Enrollment ID: I20070104000511 |
| Provider Name | Stephen R Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689688111 PECOS PAC ID: 6305846916 Enrollment ID: I20100330001162 |
| Provider Name | Walter P Pinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285648048 PECOS PAC ID: 6103875836 Enrollment ID: I20100330001201 |
| Provider Name | Mohamed Ammar Aldaher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073527826 PECOS PAC ID: 3375592009 Enrollment ID: I20100512000439 |
| Provider Name | Laura G Deichmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780698225 PECOS PAC ID: 0749239473 Enrollment ID: I20100512000892 |
| Provider Name | Imad Khdair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093725624 PECOS PAC ID: 4284759812 Enrollment ID: I20100920000143 |
| Provider Name | Nazia Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962852053 PECOS PAC ID: 1759677016 Enrollment ID: I20191214000421 |
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