| East Bay Medical Pc | |
|
105b Lottie Lane Fairhope AL 36532 | |
| (251) 990-7330 | |
| (251) 990-7331 |
| Full Name | East Bay Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105b Lottie Lane, Fairhope, Alabama |
| Authorized Official Name and Position | Francisco J. Quinones (PRESIDENT) |
| Authorized Official Contact | 2519907330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bay Medical Pc 105b Lottie Lane Fairhope AL 36532 Ph: (251) 990-7330 | East Bay Medical Pc 105b Lottie Lane Fairhope AL 36532 Ph: (251) 990-7330 |
| NPI Number | 1942223201 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942223201 | NPI | - | NPPES |
| 529930530 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
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