| Doctors Clinic Of Monroeville Pc | |
|
75 Highway 136 W Monroeville AL 36460 | |
| (251) 575-4825 | |
| (251) 575-7730 |
| Full Name | Doctors Clinic Of Monroeville Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 75 Highway 136 W, Monroeville, Alabama |
| Authorized Official Name and Position | Albert R Boroughs (SEC.TRES.) |
| Authorized Official Contact | 2515754825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Clinic Of Monroeville Pc 75 Highway 136 W Monroeville AL 36460 Ph: (251) 575-4825 | Doctors Clinic Of Monroeville Pc 75 Highway 136 W Monroeville AL 36460 Ph: (251) 575-4825 |
| NPI Number | 1457381261 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 03/05/2009 |
| Medicare PECOS PAC ID | 2567406796 |
|---|---|
| Medicare Enrollment ID | O20050623000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457381261 | NPI | - | NPPES |
| 528700740 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Albert R Boroughs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740283548 PECOS PAC ID: 0547205270 Enrollment ID: I20100803000172 |
| Provider Name | Charles Martin Eddins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932104809 PECOS PAC ID: 5597652503 Enrollment ID: I20100803000197 |
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