Dr Tamara Mcintosh Llc | |
1410 Al Highway 144 Ohatchee AL 36271-7887 | |
(256) 892-2121 | |
(256) 892-3733 |
Full Name | Dr Tamara Mcintosh Llc |
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Speciality | Family Medicine |
Location | 1410 Al Highway 144, Ohatchee, Alabama |
Authorized Official Name and Position | Tamara Mcintosh (OWNER PHYSICIAN) |
Authorized Official Contact | 2568922121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Tamara Mcintosh Llc 1410 Al Hwy 144 Ohatchee AL 36271-7887 Ph: (256) 892-2121 | Dr Tamara Mcintosh Llc 1410 Al Highway 144 Ohatchee AL 36271-7887 Ph: (256) 892-2121 |
NPI Number | 1467549147 |
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Provider Enumeration Date | 10/06/2006 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 9436158391 |
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Medicare Enrollment ID | O20061204000546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467549147 | NPI | - | NPPES |
51538228 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20130 (Alabama) | Primary |
Provider Name | Tamara A Mcintosh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538269816 PECOS PAC ID: 4082613948 Enrollment ID: I20061204000536 |
Provider Name | Chelsea K Popp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306338298 PECOS PAC ID: 9931456761 Enrollment ID: I20180724003732 |