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1329 Mulberry St Montgomery AL 36106-1132 | |
(334) 262-0523 | |
(334) 262-5915 |
Full Name | |
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Speciality | Clinic/center |
Location | 1329 Mulberry St, Montgomery, Alabama |
Authorized Official Name and Position | Warner L Pinchback (OWNER) |
Authorized Official Contact | 3342620523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1329 Mulberry St Montgomery AL 36106-1132 Ph: (334) 262-0523 | 1329 Mulberry St Montgomery AL 36106-1132 Ph: (334) 262-0523 |
NPI Number | 1972518736 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
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1972518736 | NPI | - | NPPES |
528800430 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 8817 (Alabama) | Primary |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |