| Doctors Making Home Visits 1st Inc | |
|
922 S Perry St Montgomery AL 36104-5022 | |
| (334) 303-0657 | |
| Not Available |
| Full Name | Doctors Making Home Visits 1st Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 922 S Perry St, Montgomery, Alabama |
| Authorized Official Name and Position | Tisha Denise Dickson-nickson (CEO) |
| Authorized Official Contact | 3343030657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Making Home Visits 1st Inc 922 S Perry St Montgomery AL 36104-5022 Ph: (334) 303-0657 | Doctors Making Home Visits 1st Inc 922 S Perry St Montgomery AL 36104-5022 Ph: (334) 303-0657 |
| NPI Number | 1750906921 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 06/12/2020 |
| Medicare PECOS PAC ID | 8628487006 |
|---|---|
| Medicare Enrollment ID | O20210514002428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750906921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce S Trippe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700936200 PECOS PAC ID: 5496783144 Enrollment ID: I20100831000751 |
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