| Dr Larry O Skelton Md Pc | |
|
16063 Hwy 69 South Moundville AL 35474 | |
| (205) 371-2267 | |
| Not Available |
| Full Name | Dr Larry O Skelton Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16063 Hwy 69 South, Moundville, Alabama |
| Authorized Official Name and Position | Larry O Skelton (OWNER) |
| Authorized Official Contact | 20533712267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry O Skelton Md Pc Po Box 687 Moundville AL 35474 Ph: (205) 371-2267 | Dr Larry O Skelton Md Pc 16063 Hwy 69 South Moundville AL 35474 Ph: (205) 371-2267 |
| NPI Number | 1649458605 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 02/01/2008 |
| Medicare PECOS PAC ID | 5991871329 |
|---|---|
| Medicare Enrollment ID | O20080909000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649458605 | NPI | - | NPPES |
| 529916560 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8780 (Alabama) | Primary |
| 363L00000X | Nurse Practitioner | 1079822 (Alabama) | Secondary |
| Provider Name | Andrea Brown Stringfellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285046110 PECOS PAC ID: 8426273160 Enrollment ID: I20140714000263 |
Moundville Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 40870 Al Highway 69, Moundville, AL 35474 Phone: 205-371-4444 | |
Moundville Primary Care Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16063 Highway 69 S, Moundville, AL 35474 Phone: 205-371-2267 Fax: 205-371-2901 |