| Drs. Ketcham And Dismukes | |
|
202 Hwy 80 E Demopolis AL 36732 | |
| (334) 289-0499 | |
| (334) 289-3013 |
| Full Name | Drs. Ketcham And Dismukes |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Hwy 80 E, Demopolis, Alabama |
| Authorized Official Name and Position | Linda Smith Mayton (BILLING MANAGER) |
| Authorized Official Contact | 3342890499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Ketcham And Dismukes 202 Hwy 80 E P.o. Box 650 Demopolis AL 36732 Ph: (334) 289-0499 | Drs. Ketcham And Dismukes 202 Hwy 80 E Demopolis AL 36732 Ph: (334) 289-0499 |
| NPI Number | 1720102387 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720102387 | NPI | - | NPPES |
| 000088680 | Medicaid | AL | |
| 0110356 | Other | AL | UNITED HEALTHCARE |
| 000088681 | Medicaid | AL | |
| 0110247 | Other | AL | UNITED HEALTH CARE |
| 051088680 | Other | AL | BLUE CROSS BLUE SHIELD |
| 051088681 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2802 (Alabama) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Keen Health & Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-4445 Fax: 334-289-2778 | |
Demopolis Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1502 Highway 80 East, Unit A, Demopolis, AL 36732 Phone: 334-289-1193 | |
Medcenter Demopolis, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 Highway 80 West, Demopolis, AL 36732 Phone: 334-289-0225 Fax: 334-287-3340 | |
Two Rivers Surgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Us Highway 80 E, Ste 215, Demopolis, AL 36732 Phone: 334-287-2840 Fax: 334-287-2846 | |
The Whit Family Clinic Fitz-gerald Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Us Highway 80 W, Demopolis, AL 36732 Phone: 334-289-1517 | |
Anderson Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 W Washington St, Demopolis, AL 36732 Phone: 334-328-0977 | |
Holifield Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Cedar Ave, Demopolis, AL 36732 Phone: 334-289-2190 Fax: 334-289-2195 |